Reservation Request Form

Please provide the information requested in the four sections below.  If you prefer, you can e-mail us your request also.

Section 1 Company Information
Company Name
Company Address
Company Address 2
City
State
ZIP
Contact Name*
Contact e-mail*
Contact Telephone
Section 2 Session Information
Primary Topic	--Choose Your Primary Topic -- Access Basic Access Intermediate Access Advanced ACT! Basic ACT! Advanced Excel Basic Excel Intermediate Excel Advanced Excel Customization and Automation FrontPage Basic FrontPage Advanced GoldMine HTML Basic Outlook Peachtree Accounting PowerPoint Basic PowerPoint Advanced Photoshop Basic Photoshop Advanced Project Publisher QuickBooks Basic QuickBooks Advanced Visual Basic Programming Word Basic Word Intermediate Word Advanced Other - Please Specify Below
Special Focus: Enter in any additional topics or items you would like to have special emphasis placed on:
First Date Preference
Second Date Preference
Location	A NextWave Training contracted facility Client Site at Address Shown in Company Information Other Client Designated Site - Please Specify
Section 3 Participant Information
Participant 1 Name
Participant 2 Name
Participant 3 Name
Participant 4 Name
Participant 5 Name
Participant 6 Name
Note: If you have more than six participants, please email us your list.
Section 4 Other Information
Please select your preferred payment method. NOTE: No bill will be issued until all arrangements have been finalized. You have the option of changing your payment method at any time.	Company Check Company Charge Card Personal Check Personal Charge Card
Please enter any additional comments or special instructions you wish to add.