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2001, SurgeWorks. All rights reserved.
Training Course Registration

Registration Procedure
To register for courses, please complete the form at the end of this section, sign and date it, then fax or
mail the signed form to Jill Johnson using the Contact Information for Training Coordinator, below.

Payment in full must be received prior to the course start date. Please make your check payable to
SurgeWorks in United States dollars. Credit card payments (MasterCard or VISA only) are accepted.
Purchase orders (corporate or government) are accepted as payment; however, they must be received
prior to the course start date. The payment address is listed in our Contact Information below.
For reporting tax information, SurgeWorks federal tax ID number is 87-0538191.

Contact Information for Training Coordinator
For information, confirmation, or assistance, please contact our Training Coordinator, Jill
Johnson, as follows:
Phone Toll Free: 877 325 5637
Phone: +1 801 272 9800
Fax: +1 801 277 9442
Email: jjohnson@SURGEWORKS.COM
Our mailing address for payment is:
SurgeWorks Training
ATTN: Jill Johnson
1996 East, 6400 South
Suite 160
Salt Lake City, UT 84121
All registrations will be acknowledged by phone or email. If you do not receive confirmation within 4 days,
please contact Ms. Johnson by phone or email immediately.
Cancellations, refunds, and substitutions
We understand that emergencies and illnesses happen. We ask for the earliest possible notice of a
cancellation. Our cancellation policy is as follows:
o More than 14 days prior to course start date ­ 100% refund
o 7-14 days prior ­ 50% refund
o Less than 7 days prior ­ no refund.
You may, however, transfer your registration to another person at any time. Please send your cancellation
or transfer request to Ms. Johnson by fax or email.
Results guaranteed
SurgeWorks is not satisfied unless you are. If you're not able to apply the concepts, skills and techniques
you learned in our course, contact us right way. We'll issue you a refund or arrange for you to attend
another SurgeWorks course free of charge. That's our guarantee.

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