HS University
 
 
Modifying HSFIS Reports Enrollment Form 
Required Items. Please read the cancellation policies.
(NOTE: Students will need to purchase Crystal Reports 8.5 software or lower to utilize this training!)

Student Information:

1st Student Name:
1st Student Email:
2nd Student Name:
2nd Student Email:
3rd Student Name:
3rd Student Email:
 

Agency Information:

* Agency:
Contact Name:
* Job Title:
* Phone:

Fax:

Address:
City:
State:
Zip:
 

Course Information: 

* Course::
* Number of Students:
* Fees:
 $499.00 per person

Discounts:

 

Note:

When booking online, Early Bird Discounts are only available with Credit Card registrations! 

Take 3 discount is for 3 or more student registering for the same workshop. 

* Total Fees:
Classes are occasionally cancelled. Please indicate if there is a second date in our schedule which may be acceptable to you. You will not be enrolled in this class without a confirmation by phone and/or email or fax. Please read the cancellation policies.
Alternate Course Date::
Payment Method:
* Method of Payment:
PO#:

 Please bill the company: letter of authorization or purchase order will be faxed to (901) 758-4036. I have read and understand the registration and refund procedures for HSU courses.

Card No.  

Expiration Date

Security Code: (3-digit security code on back of card)

Name on Card:

Authorizing Manager:
Comments:
Need more information? Call 1-888-282-7817

We send out our schedule and occasional promotions. If you would rather not receive these messages, please check this box.

HSU provides a range of services to allow persons with disabilities to participate fully in educational programs and activities.  If you desire support services, contact the student Access Center at (901) 758-4034.

HS University © 2008 • Privacy PolicyTerms Of Use