CICorporation.US
Computer-Instructors.com
Request for Consulting or Instruction

Please fill out the following information and press the Register button below.
Call 800-319-3190 with any questions or to discuss your needs and best payment options.

Contact:
Organization:
Address:
City: State: Zip:
Phone:   Fax:
eMail:
Country: if not USA
Training Course
or
Description
of your
consulting
needs
Quantity:  
Hours/Days of consulting, or Number of Students to be trained
Location: Where would you the training or consulting to take place?
Client Site (Above address or: )
CICorp Classroom  Lab:
Via PC-Anywhere and/or Videophone - remote access  
Other

Time Frame:  
How soon would you like to proceed? (Next week, Next month, etc.)

Fees:

 MD,DC,VA,NY,CA, IA
Price Quote:
Preferred
Payment
Method:		 Other / Purchase Order:

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Payment Methods: PayByCheck.com, PayPal.com, QChex.com, or Credit Card

To avoid bookkeeping costs, and offer our clients more competitive rates, we do not offer services on credit.   By the day of the consulting or training, we request that a written check, purchase order, an Internet check, or credit card be received.  Thank you.

For classes, please list below the names of the course participants for their Student Certificates.


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