AVS Southern California Chapter Short Course Registration Form

September 30 - October 2, 2019
AVS Southern California Chapter Short Course Program
Holiday Inn Buena Park Hotel & Conference Center
7000 Beach Blvd.
Buena Park, CA 90620

Class Hours – 8:30 a.m.-5:00 p.m.
Breaks: 10:00 a.m. and 2:30 p.m.
Lunch: 12:00-1:00 p.m. Included

EARLY REGISTRATION DEADLINE: September 1, 2019

**FOR COURSE AVAILABILITY CONTACT:
Heather Korff, 530-896-0477, heather@avs.org

= Course Description = Instructor Biography
Vacuum Technology
An Overview of Applied Vacuum Technology Regular $1,020.00 Student $400.00	9/30-10/01
Controlling Contamination in Vacuum Systems Regular $690.00 Student $200.00	10/02

DIETARY RESTRICTIONS

Vegetarian

Other (please list restricted foods in box below)
Restricted foods:

ATTENDEE INFORMATION

First Name:
Last Name:
Title:
Organization:
Address:
Address2:
City:
State:
Zip/Postal Code:
Country:
Phone:	Fax:
E-Mail:

ADVISOR INFORMATION (Students only-must bring Student I.D. onsite)

University:
Degree Pursuing:
Advisor's Name:
Advisor's Phone:	Fax:
Advisor's E-mail:
STUDENT I.D. WILL BE REQUIRED PLEASE E-MAIL OR FAX IT TO SHORT COURSES (courses@avs.org or 530-896-0487). I.D. NEEDS TO BE PRESENTED AT THE START OF CLASS FOR VERIFICATION WHEN YOU PICK UP YOUR COURSE MATERIALS ON-SITE.

DISCOUNTS

AVS is not responsible for applying, or being aware that you may qualify for any discount. You may only select one discount option when registering. If you qualify for more than one discount, please select the greater of the two to be applied.

2019 AVS Member discount - $75.00 off total
$75 discount per location offering for current AVS members. This offer excludes Student registrants.

2019 Multi-course discount (2 courses) - $200.00 off total
$200.00 discount for every two courses taken, by one person, at a specific short course program (i.e., the same location and calendar week). This offer excludes Student registrants.

METHOD OF PAYMENT

Check (Make payable to AVS* in U.S. dollars and drawn on a U.S. bank, AVS Tax ID #04-2392373)* AMEX MasterCard VISA
Card Number
Expiration Date
Cardholder Name
CCID#

HOW DID YOU HEAR ABOUT THE AVS SHORT COURSES? (Required field)

Please send registration form and payment to:

AVS
110 Yellowstone Dr., #120
Chico, CA 95973
Phone: 530-896-0477
Fax: 530-896-0487
E-mail: heather@avs.org