Machinery Lubrication

Machinery Lubrication Sept Oct 2013

Machinery Lubrication magazine published by Noria Corporation

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Fundamentals Of Machinery Lubrication Registration Form ❑ YES! Please register me for the three-day Fundamentals of Locations And Dates Machinery Lubrication training course for only $1,195 per person. 4 Ways To Register @ The phone numbers below are for booking hotel reservations only. To register for the course call 800-597-5460. Call toll-free! 800-597-5460 Or 918-749-1400 Mail the registration form! Fax your registration! 918-746-0925 Training Course Course City: __________________________________________________________ Course Date: __________________________________________________________ Who Will Be Attending Mr./Ms.: _____________________________________________________________ Job Title:_____________________________________________________________ E-mail: ______________________________________________________________ (Please list additional registrations on a separate sheet and attach) Company Information Houston, TX Nashville, TN May 22-24, 2012 Doubletree 15747 John F. Kennedy Blvd. Houston, TX 77032 281-848-4000 August 7-9, 2012 Renaissance Nashville 611 Commerce Street Nashville, TN 37203 615-255-8400 Milwaukee, WI Online Las Vegas, NV July 10-12, 2012 Hilton Milwaukee River 4700 North Port Washington Rd. Milwaukee, WI 53212 414-962-6040 October 23-25, 2012 Embassy Suites Convention Center 3600 Paradise Road Las Vegas, NV 89169 702-893-8000 Toronto, ON Canada July 24-26, 2012 Novotel Toronto Centre 45 The Esplanade Toronto, ON, M5E 1W2 416-67-8900 Check for more dates and locations Organization: __________________________________________________________ Address: ______________________________________________________________ Mail Stop: ____________________________________________________________ City:________________________________ State/Province: ____________________ Registration Information Country: ____________________________ Zip/Postal Code: ____________________ Check-in: Tuesday, 7:30 a.m. – 8:00 a.m. Program: Tuesday – Thursday, 8:00 a.m. – 4:00 p.m. The fee for Fundamentals of Machinery Lubrication is $1,195 per person. For fast registration, call 800-597-5460 toll-free between 8 a.m. and 5 p.m. central time Monday through Friday. Or, fax your registration form to 918-746-0925 at any time. The fax line is open 24 hours a day, seven days a week. We will send a confirmation of your registration via e-mail. If your confirmation does not arrive within 48 hours, please contact us to process your registration immediately. In lieu of cash, check and credit cards are preferred when paying at the training site. Phone: ______________________________ Fax: _____________________________ E-mail: _________________________________________________ Industry Information ❑ Agricultural ❑ Automotive Manufacturing ❑ Aviation, Rail, Maritime, Trucking ❑ Chemicals & Allied Products ❑ Construction & Allied Products ❑ Consulting/Services/Training ❑ Food Process Manufacturing ❑ General Manufacturing or Other ❑ Government/Military ❑ Laboratory ❑ Mining/Metals ❑ Petroleum Products & Refining ❑ Pharmaceutical ❑ Plastics & Allied Products ❑ Pulp & Paper, Lumber ❑ Textiles & Apparel ❑ Tire/Rubber ❑ Tobacco ❑ Utilities (Electric, Water, Gas, Waste) ❑ Other What's Included Certification Study Packet Quantity The Level I MLT/MLA Certification Study Packet - $355 ______ $14 for shipping will be added to all study packet orders. Cancellations And Substitutions Method Of Payment Payment is due before the course ❑ Check enclosed payable to: Noria Corporation Mail to: Noria Corporation ATTN: Training 1328 East 43rd Court Tulsa, OK 74105 ❑ Charge to: ❑ Your fee provides you the best training around, a comprehensive manual, a free package of training materials, continental breakfast, lunch each day and refreshments. Certification exam fees are not included. ❑ ❑ ❑ You may cancel your registration prior to the course date or send a substitute. If you cancel prior to the course date, we will refund your entire payment, cancel your invoice or, if you prefer, apply your payment to another Noria program of your choice scheduled within 12 months of your original event. Please note that if you do not cancel and do not attend, you are still responsible for payment. Card Number: __________________________________ Expiration Date: ________________________________ Name on Card: __________________________________ Signature:______________________________________ ❑ Our Purchase Order is attached. P .O.# ______________________________ Note: If you've already registered by phone, fax or online, please do not return this form. Certification Exams Certification testing is offered by the ICML the morning following this training course at the same hotel. Please contact the ICML to register for the certification exam or register online at their web site: International Council for Machinery Lubrication Phone: 918-259-2950 • Fax: 918-259-0177 E-mail: • Online:

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