Sign Up

Thank you for your interest in one of our classes.
Please fill out the information below and click on Register.

Course Information
Please select the course(s) you would like to attend:

Basic PLC Class:
March 10th & 11th     Sept 22nd & 23rd

Advanced PLC Class:
June 2nd & 3rd     Dec 1st & 2nd

Function Block Class:
June 9th   

GPProEx Basics:
March 24th     June 23rd     Oct 13th

GPProEx Intermediate:
April 7th     July 7th     Oct 27th

ProServerEx:
April 21st     July 21st     Nov 10th

GPProEx Logic:
May 5th     Aug 4th     Nov 24th

V1000 VFD:
April 14th


Company Information
* Items marked with asterisk are required.

* Company :
* Address 1 :
* Address 2 :
* City :
* State :
* Zip Code :

Attendee(s) Information

* Attendee 1 :
* Attendee 2 :
* Attendee 3 :
* Attendee 4 :
* Email Address :
* Phone :	ext :
xxx-xxx-xxxx
* Fax :
xxx-xxx-xxxx

Payment Information
Please provide billing information even for No Charge classes.
See Cancellation Policy on right.
Credit Card

Card Number
no dashes or spaces
Expiration Date
mm/yyyy
Security Code

Purchase Order
   PO Number :
   Please fax a copy of the Purchase Order to (775) 254 4047.

Check
   Check Number :
   Please mail in at least 7 days before the course begins.


Other Information

Questions, Comments or Special Needs?



           

 

Cancelation Policy

• Lakewood Automation reserves the right to cancel or change training dates and will not be held liable for any expenses, loss of income, or inconvenience caused.
• All PLC classes will be invoiced or cancelled 7 days before the class begins. If you need to cancel, it must be done before this date.
• All No Charge classes will be billed $200 for a no show or cancelling within 48 hours of the class. If you attend the class there will be no charge.
• Once invoiced the class is not refundable.