Power Lab Application Form

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Date of course

 

First Name

 

Last Name

 

Age

 

Gender Choose Option Female Male

 

Position/Title

 

Organization

 

How did you learn of this program?

 

My main purpose in attending this program is

 

Please indicate the name you want on your name tag

 

I have read the payment information.* (Please see below)

I have read the payment information

 

 

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Click Here to Download The Power Lab application in a PDF document which you can fill out and fax back to us.

 

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Payment Information

The course fee is $10,000. (Contact This e-mail address is being protected from spambots. You need JavaScript enabled to view it for special rates for government agencies, non-profits and independent consultants.) This includes tuition, materials, and living costs. A $1,000 nonrefundable deposit must accompany this application. You will need to bring an additional $30 in US cash for use in the program.

Transfers and substitutions: When notified in writing at least 30 days prior to the program start date, we will transfer your enrollment to the next program at no charge. Transfers made 30 to 7 days prior to the start date will be charged $500. No transfers will be approved less than 7 days before the start date; in such a case you will be charged as a cancellation and forfeit the full fee. Substitutions can be made at any time at no charge.

Cancellations: Cancellations made within 30 days of the program start date will be charged one-half the fee, except for cancellations made 7 days or less prior to the program start date which will be charged the full fee. All cancellations must be received in writing.

Note: Power + Systems reserve the right to cancel any program. Power + Systems will not be responsible for travel-related cancellation or change fees.