Fax – Fax - Registration Form – Fax - Fax

Yes! I want to register right away for Jim Meisenheimer’s:

q Advanced Sales Management Course scheduled for June 8-9, 2005 in Tampa. $1,697

Name ________________________________________________________________________

Company _____________________________________________________________________

Address ______________________________________________________________________

City _______________________________ State ________________ Zip _______________

Telephone _________________________________________ Ext. ______________________

FAX _________________________________________________________________________

E-mail _______________________________________________________________________

Manager’s name _______________________________________________________________

Manager’s telephone ____________________________________________________________

Sorry, we are unable to invoice you. All program fees must be pre-paid.

Tax deductible! Continuing education is usually deductible. Check with your tax advisor.

Method of Payment

q Check enclosed Check # ________________________ $__________________________

q Charge to my credit card

q Master card q Visa q American Express

Card number ___________________________________________ Exp. date _____________

Authorized signature ____________________________________________________________

Register Today!

J By FAX: (941) 907-0441

J By Telephone: (800) 266-1268

J By E-mail: jim@meisenheimer.com

J By Snail mail: Jim Meisenheimer, Inc. • 13506 Blythefield Ter. • Lakewood Ranch • FL • 34202