PSNI - Conference Room Training Request Form

PSNI Lab Training Registration Form

This registration form must be completed by all participants requesting attendance to a SNAP Training Seminar hosted by PSNI. Complete the following registration form to reserve a spot in a class. Registration is not confirmed until a purchase order or payment is received. All registrants will receive confirmation within one week of our receipt of your purchase order or payment. If confirmation is not received, please contact the PSNI office at 1-800-889-7627x5.

Note: To follow along and get the most of the training, all participants are expected to have basic
computer skills prior to registering for a training class (i.e. mouse operation, basic keyboard skills, basic
Microsoft® Windows® functions, opening files, backing up and saving to hard-drive or floppy disk).

Fields marked with a red * are required.

Participant Name *:
Position:
School Name *:
District:
Phone *:
Address Line 1 *:
Address Line 2:
City/Town *:
State *:
Zip Code *:
School Phone *:
Email Address *:
Class Type (please check one)	Initial Advanced
Class Date *:
Class Location: (please check one)	Online Nashua, NH
Purchase Order No.:
Please indicate if you will need special accommodations (i.e. dietary, mobility etc)
Please mail/fax purchase orders or payments to: Professional Software for Nurses Inc., 28 Charron Ave, Suite 1, Nashua, NH 03063 Fax: (603) 882-2165 One form per person, please. Questions? Contact PSNI at 1-800-889-7627x5
Payment Policy:	Purchase Orders or payment in full must be received at least 14 days before the scheduled training.
Cancellation Policy:	Cancellations made 14 days or less prior to the scheduled training date will result in a 50% cancellation fee.
	PSNI requires a minimum of 3 participants per training. If a class does not have the minimum number of participants 30 days prior to the training date, classes may be cancelled and those registered will have the option for a full refund or to reschedule to different training date. Please make airline travel plans accordingly.