PolyReg: Registration form for training courses 2018

(Form to be printed; please mark your selected course)
Initial Training (Fr. 650.--)
IT18-01 Zurich / G, 25.05.2018
IT18-02 Zurich / G, 05.06.2018
IT18-03 Geneva / F, 13.06.2018
IT18-04 Zurich / G, 12.07.2018
IT18-05 Zurich / G, 28.08.2018
IT18-06 Lugano / I, 11.09.2018
IT18-07 Zurich / G, 13.09.2018
IT18-08 Lausanne / F, 03.10.2018
IT18-09 Zurich / G, 30.10.2018
IT18-10 Zurich / G, 27.11.2018
IT18-11 Lugano / I, 29.11.2018
IT18-12 Zurich / E, 06.12.2018
Recurrent Training (Fr. 340.--)
RT18-01 Zurich / G, 24.05.2018
RT18-02 Zurich / G, 31.05.2018
RT18-03 Zurich / G, 12.06.2018
RT18-04 Geneva / F, 14.06.2018
RT18-05 Zurich / G, 19.06.2018
RT18-06 Zurich / G, 26.06.2018
RT18-07 St. Gallen / G, 03.07.2018
RT18-08 Zurich / G, 21.08.2018
RT18-09 Olten / G, 05.09.2018
RT18-10 Bern / G, 06.09.2018
RT18-11 Lugano / I, 12.09.2018
RT18-12 Zurich / G, 18.09.2018
Recurrent Training (continued):
RT18-13 Lugano / I, 04.10.2018
RT18-14 Zurich / G, 23.10.2018
RT18-15 Lugano / I, 26.10.2018
RT18-16 Zurich / G, 06.11.2018
RT18-17 Zurich / G, 15.11.2018
RT18-18 Zurich / E, 20.11.2018
RT18-19 Lugano / I, 30.11.2018
RT18-20 Zurich / G, 04.12.2018
RT18-21 Zurich / G, 11.12.2018
RT18-22 Zurich / E, 20.12.2018
Reserve
Reserve

Member:
(other Members you represent:)
Name / First name:
Title / Function:
Address: Zipcode/Place:
Phone: E-Mail:
Date: Signature:

If you assume functions for more than one member of PolyReg please indicate those firms. The first member mentioned will be invoiced.
Send to: PolyReg General Self-Regulatory Organisation, Training administration, Florastrasse 44, 8008 Zürich
or fax to: 043 / 499 80 56.
Registrations sent by e-mail can not be accepted.
This registration is binding. The following charges will be made for no-shows or cancellations:
- up to 4 days before the course: 30% of the costs.
- 3 days or less before the course: 60% of the costs.