Sheraton Seattle Hotel 1400 Sixth Avenue Seattle, WA 98101 Phone: 206-204-6100 Fax: 206-447-5525
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.
Date:
First Name:
Last Name:
Company:
Title:
Mailing address:
City:
State / Province:
Zip/Postal Code:
Country:
Phone Number:
Fax Number:
email address:
Will you be staying at the Sheraton Seattle Hotel?
Please circle 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 circle 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 American Express, how do you plan to complete the credit card transaction?
Please circle 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: ____________________________________________
