Pre-Registration Form

The Star Quality SmokeTest Builder°

Waltham, MA (dates to be announced)          

° Patent pending

Cost includes a copy of the Star Quality Smoke Test Builder Kit. Pricing is based on number of students from the same company. Course payment is due at registration. You may also supply a Purchase Order # to reserve a seat in the class. Please print out the form below using your browsers "print" button and fax or mail the completed forms to:  

Star Quality,   23 College St., Hopkinton, MA 01748
Fax: (508) 497-3413,   Voice: (508) 497-3413

Pricing: 1 @ $2200       2 @ $2000 / student
3-4 @ $1800 / student  5+ - inquire for pricing

Name of Student:    ________________________________________________________________________

Title / Role:             ________________________________________________________________________

Company:              ________________________________________________________________________

Address:                ________________________________________________________________________

City / State / Zip:    ________________________________________________________________________

Phone:                  ________________________________________________________________________

Fax:                      ________________________________________________________________________

Email:                   ________________________________________________________________________

                           PLEASE USE SEPARATE FORMS FOR  REGISTRATION OF ADDITIONAL STUDENTS.

Method of Payment:

____    Check enclosed (payable to Star Quality )

____    Purchase Order #____________________