REGISTER FOR CLASS - THE BURRELL GROUP (www.BurrellGroup.com)
 (Print and complete this form)
TO REGISTER: 
Mail completed form with your check payable to "THE BURRELL GROUP" to:
Mark Burrell
The Burrell Group
P.O. Box 17039
Anaheim, CA 92817-7039 		Credit card orders can be faxed
to THE BURRELL GROUP at (714) 974-2582

Please reserve ___ spaces for WINForms Webinar on the following date:
November 6, 2006 / 9:00 AM - 11:00 AM PST (West Coast Time)

Location: WEBINAR TRAINING AT YOUR PC
Requires a Web Browser and Internet Connection (Broadband recommended)
Audio via telephone conference (Call to 712 Area code)
TUITION: Only $35 per person
Earlybird Price: Only $20 if paid by November 2, 2006

Class Seating Limited!

Name: _________________________________
Company: _________________________________
Address: _________________________________
City, State, Zip: _________________________________
Phone: ______________________ Fax: _____________________
E-mail: _________________________________
Current Web site: _________________________________
Circle One - WINForms Experience:   None  /   Some  /   Expert
Payment Method: Check enclosed / VISA /  MasterCard / American Express
Credit Card #:  ____________________________ Expires: ______
Name on Card: _________________________________
Cardholder Signature:
_________________________________