PureShare Training Registration Form

Please complete this form to register for PureShare® ActiveMetrics® training on
March 1-3, 2010 in Las Vegas.

You will have the option to return to this page to enter more registrants.

REGISTRATION INFORMATION

*First Name:

 *Last Name:
*Company Name:
 *Your Title:
*Phone Number:
 *Email Address:

*Required

I am interested in participating in the following courses:

Course #1 - ActiveMetrics Fundamentals - PureShare
3 days ($1495 / $1295** before Dec. 18)
Course #2 - ActiveMetrics v1.0 - v2.0 Transition - PureShare
2 days ($995 / $850** before Dec. 18)
Course #3 - Stephen Few 1 Day Course:
Dashboard Design for at-a-Glance Monitoring
($300)
Yes! Please also register me for PUG2010
(PUG2010 registration is Free).

**Residents of Ont. please add 13% (GST & PST) - Cdn. residents please add 5% (GST)
Please describe your level of knowledge or experience with PureShare ActiveMetrics:

Preferred payment method:


required fields

Option #1. Visa. Download and complete this credit card authorization form, and fax it to Janice Wyman at (613) 445-2800, or scan and email it to janwyman@pureshare.com.
        Phone:+1 613.236.1644
        Toll Free: +1 866.636.6065

Option #2. Corporate cheque. Write a cheque for the total registrations above to
“PureShare Inc.” and mail it to:

        80 Aberdeen St., Suite 400
        Ottawa, ON     K1S 5R5
        Canada