Institute for Municipal and Governmental Training

TO REGISTER FOR THE COURSE, PLEASE COMPLETE THE COURSE REGISTRATION FORM BELOW, PRINT, SIGN AND FAX BACK TO US AT FAX NUMBER (905) 707 - 5801. IF YOU HAVE ANY DIFFICULTY, PLEASE CONTACT US AT (905) 889 - 7800

FIRST COME, FIRST SERVED.

It is important to note that sending this application for the course does not guarantee space availability due to the limited enrollement in these courses. However completeing the financial transaction through the purchase order and by faxing the same to the Institute will increase your priority for having a confirmed course attendance.

All fields are required for this application to be submitted.

Institute for Municipal and Governmental Training 15 Wertheim Court, Suite 211, Richmond Hill, Ontario, Canada. L4B 3H7	COURSE REGISTRATION FORM
Tel: 905-889-7800 Fax: 905-707-5801	Website: www.noisetraining.com

COURSES ARE RESTRICTED TO MUNICIPAL, PROVINCIAL, FEDERAL AND GOVERNMENT EMPLOYEES AS WELL AS CROWN CORPORATIONS (INCLUDING VARIOUS GOVERNMENT AGENCIES)

Mr. Ms.

First Name :

Last Name :

Employed by :

	Local/Area Municipality
	Regional Municipality
	Other Municipal Agencies
	Provincial Government
	Federal Government
	A Government Agency, Specify:

Position/Title :

Section/Department :

Address :

City :

Province / State:

Country :
Postal / Zip Code:

Home Phone :

Business Phone :

E-Mail Address :

Course Code :

LUP-2

Course :

NOISE CONTROL IN LAND USE PLANNING: (LATEST ADVANCES, ISSUES, EFFECTIVENESS AND SETBACKS) A Two (2) Day Awareness Course For Land Use Planners

Course Schedule :	Date: Please select your preferred date
Course Hours:	9 AM - 5 PM
Fees subtotal:	$1200 + GST
Course Manual, Lunch, & Misc:	$70 + GST
Fees Total:	$ + GST

TERMS, PAYMENT INFORMATION AND POLICY
1. Payment to be made on the basis of a formal purchase work order/requisition issued by the employer. Payment to be made upon receiving a notification from us 45 days prior to the course date (Verbal orders, letters, credit cards and the like will not be accepted). All orders to contain sequence numbers and to contain adequate information on the name(s) of person(s) attending, course title(s) and selected/confirmed date of each course. If the order is not received withing this time period, the name of the person will be automatically deleted with course cancellation.

2. No cancellation will be allowed within the 4 weeks period before the course and no refund will be issued. Other substitute person(s) will be allowed to attend the course.