What:	12th Annual Universal CokingCokers.Com Safety / Operations / Process / Maintenance & Reliability Delayed Coking Seminar
When:	Tuesday, August 5th, - Thursday, August 7th, 2008
Where:	Sheraton Seattle Hotel 1400 Sixth Avenue Seattle, WA 98101 Phone: 206-204-6100 Fax: 206-447-5525
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	To complete the registration process, please complete this following form and carefully follow the instructions provided in this form
Registration Fee Due:	In USD $900 Per Attendee or Presenter. NOTE: Seminar fee does not include lodging or transportation. Cancellation Policy: Full refund for cancellations received more than fifteen (15) days before the start of the Seminar.
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	Will you be staying at the Sheraton Seattle Hotel?
	Please select one Yes, I will be staying at the Sheraton Seattle Hotel No, I will find my own lodging for the seminar
	WE PREFER that you REGISTER ONLINE at this website. Then PRINT the registration form and manually enter your credit card information as instructed. You can then mail in the registration form with the payment information, or a check payable to the name and address below, or you fax the form to 360-380-1730.
	What form of payment do you plan to make (in USD)? Sorry, we DO NOT accept Discover. Sorry, we DO NOT process credit cards online.
	Please select one Credit card: Mastercard Credit card: Visa Credit card: American Express Company check Money order Traveler's checks Cashier's check Request Invoice
	If you are paying via Mastercard, Visa or Amex, how do you plan to complete the credit card transaction?
	Please select one In Person, at the seminar. Mail in my credit card information. Fax in my credit card information. Phone in my credit card information.
	Please Print Credit Card information clearly:
	I, _________________________, do hereby authorize Universal Consulting, Inc. (MID8788260032145) to charge the below listed credit card in the amount of: $ _______________ Credit Card #: ______________________________ Name as it appears on the card: ______________________________
	Expiration Date: MM______ YY_____ 3 Digit Security Code On Back Of Card: _________ Billing Address for the Card: ____________________________________________                                         ____________________________________________
	Card Holder's Signature: ______________________________ Today's Date: ___________
	By submitting this form, you will be registered for the program electronically. Please PRINT a copy of this registration form and mail with a check made payable to: Universal Consulting, Inc. 5344 Bel West Drive Bellingham, WA 98226 (Phone / Fax) 360-380-1730 Please do NOT enter any credit card information in the comments below.
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	If you have any questions, please contact us at (Phone / Fax) 360-380-1730, (E-mail) t19461964@aol.com