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Software Dimensions and The International Institute for Software Testing

Present

PSQT/PSTT 2001 North

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PSQT/PSTT 2001 North Registration Form: Fax & Mail

If you are paying by credit card or you are attaching a purchase order, you will need to print the confirmation page and fax it or mail it to:

Software Dimensions
8476 Bechtel Ave
Inver Grove Heights, MN 55076
Phone (651)552-0716   Fax (651)552-0791

Required Fields are marked by a '*'

Company Name:*
Contact Person:*
Title:
Address:*
Mail Stop:
City:*

State:*

Zip:*
Phone:*

Fax:*
Email:*

Please include e-mail address and mail number or department number for each attendee for confirmation purposes.
Required Fields for each attendee are in marked with a '*'

Attendee Name:*

Email:*

Title:

Mail Stop:

Conference Sessions:
Tuesday &
Wednesday

 

Tutorials:



Cost:

Attendee Name:*

Email:*

Title:

Mail Stop:

Conference Sessions:
Tuesday &
Wednesday

 

Tutorials:



Cost:

Attendee Name:*

Email:*

Title:

Mail Stop:

Conference Sessions:
Tuesday &
Wednesday

Tutorials:



Cost:

Attendee Name:*

Email:*

Title:

Mail Stop:

Conference Sessions:
Tuesday &
Wednesday

Tutorials:



Cost:

Attendee Name:*

Email:*

Title:

Mail Stop:

Conference Sessions:
Tuesday &
Wednesday

Tutorials:



Cost:

Attendee Name:*

Email:*

Title:

Mail Stop:

Conference Sessions:
Tuesday &
Wednesday

Tutorials:



Cost:

Attendee Name:*

Email:*

Title:

Mail Stop:

Conference Sessions:
Tuesday &
Wednesday

Tutorials:



Cost:
Total Cost: (reflects discount if more than 4 people registered)      

Check drawn on a bank within the Continental U.S payable to Software Dimensions.
A Cashier check or money order payable to Software Dimensions.
Credit Cards: Visa, American Express, Master Card & Discover
     *Please fill out credit card information on confirmation page before mailing or faxing
 Fund Transfer: Please call our office at (651)552-0716 for bank information.  Also attach a statement of the transaction to your confirmation page and mail or fax it to our office.

ALL REGISTRATIONS MUST BE PAID BY October 5, 2001.