Class selection

• SURFCAM Standard: 2-2 ½ Axis _________$850.    
• SURFCAM Advanced: 3-Axis/Surfacing ____$850.    

Note: Training Credits acquired with purchase of SURFCAM CAD/CAM System may be used in lieu of payment.

Instructions:

1. Print this page.
2. Select the course by checking the box above.
3. Fill out company information.
4. List name of each student attending and date of class.
5. Check off appropriate box for payment arrangements *
6. Obtain signature of individual authorizing student(s) attendance
7. Return to: Email dmsmail@dm-solutions.com or fax to: 603-434-0516
8. If class enrollment(s) are cancelled with less than two working weeks notice from date of class, payment is non-refundable and class credits will be forfeited.

Company Name: ___________________ Contact Person:____________________ Telephone: _______________________ Email: ___________________________

Student(s) Class Date

PAYMENT AUTHORIZATION:
¨ Invoice us.
¨ Bill, include purchase order No. _______________
¨ Payment enclosed.
¨ Use training credits (by prior arrangements only, call for details).

_________________________________
Signature of Authorizing Company Agent

*Terms: Payment Due Prior to Class