Complete the following form & "submit" An email will be sent to the Prep Course Committee, with the current date/time stamp.
Cancellations will be refunded in full if received in writing no later than 7 business days prior to the class.
I am canceling my registering for:
CQA Prep Course - April 24 & 25 - must be received by April 12th CSTE Prep Course - April 26 & 27 - must be received by April 14th
First Name: Last Name: Company: Address: City: State ZIP Phone: Email:
My portion of the payment was calculated as: $200.00 - as a TCQAA member $250.00 - as a Non-member $235.00 - as a Non-member joining TCQAA
Payment was by: Personal Check Company Check Check # Amount $.00
Payment was for: One person (full refund) More than one person (partial refund)