EPSON Training Class Reservations

To register for any of our training classes, please fill out the form below and click submit. You can also register for a training class by calling us at (562) 290-5995 or by downloading and printing the FAX registration PDF form and then faxing back to us at (562) 290-5999.

Registration Form

Student Information:

Mr. Mrs. Ms.
First Name:	Last Name:
Title:
Company:
Address1:
Address2:
City:	State:	Zip Code:
Country:
Phone:	Fax:
E-Mail:
Customer Type End User: OEM: Distributor: System Integrator:

Course Information:
Please select the course title and dates you wish to attend from either the Programming course list or the Maintenance course lists below.

	Programming Courses: Other Course Title & Date (if not listed above):	Maintenance Courses:
	Robot Model : Robot Serial Num:	Controller Type: Controller Serial Num:

Method of Payment:
Please indicate how you intend to pay for training. If you are applying a Robot Training Credit be sure to check the appropriate box and fill in the Serial Number of the Robot to be used as the credited unit.

Using Robot Training Credit
Serial Number of Robot Used for Training Credit:
Purchase Order Number:

If using credit card please call EPSON at (562) 290-5995 after submitting this form so we can get your credit card info.

Important Note:
Please note that either a PO or credit card number is necessary for class registration. A $500 no show fee may be applied to delinquent participants if class registration waiting list exists. Cancellations should be submitted 3 weeks prior to registered event.

EPSON Training Class Reservations

Registration Form

The Power of Choice!