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Servipetrol Naturally Fractured Reservoirs Course Registration Form

2011

Instructor: Dr. Roberto Aguilera

Please check the course for which you wish to register:

  • Calgary, Alberta, dates TBA.

Tuition: $ ---  (U.S. Currency). Canadian companies please add 5% GST

Please make cheque payable to SERVIPETROL LTD.

  • Payment Enclosed
  • Bill Me

Refunds: Cancellations will be honored up to two weeks previous to the beginning of the course. The applicant can request transfer to another one of our schools or a refund of US $ --- as there is a $ 300.00 cancellation fee.

Hotel Reservations: Attendees are kindly requested to make their reservations directly with the hotel. Please mention you are enrolled in our course as we have reserved a block of guest rooms at each hotel.

 

Name    __________________________________________________________

Company __________________________________________________________

Title   __________________________________________________________

Address __________________________________________________________

City    __________________________________________________________

Province, state or country _______________________________________

Zip Code _________________________________________________________

e-mail   _________________________________________________________

Company Phone ____________________________________________________

Company Fax ______________________________________________________

               

Please make a copy of the above registration form,

complete it, and mail it or fax it (403-2648297) to:

Dr. Roberto Aguilera

SERVIPETROL LTD.

903-19th Avenue SW, Suite 502

Calgary, Alberta, Canada, T2T 0H8

 

YOU CAN ALSO E-MAIL YOUR REGISTRATION TO aguilera@servipetrol.com

Make sure your e-mail includes your name, title, company

affiliation, address, telephone and fax numbers, e-mail

address, and the location and date of the course you would

like to attend.  Thank you for your interest in this course.

 
 
 
 
 
 
 


 
 
 
 
 
 

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