Antriebstechnik - Siemens Automation and Drives Group

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Sitrain Course Registration
Fax: +49 (0) 1805 / 23 56 12
(0,14 €/min. from a German landline network, mobile telephone prices may vary)
Return Address:
Company:
Department: Function:
Surname, First Name:
Street:
Postal (ZIP) Code: City:
Telephone/Fax:
E-mail:
Your P.O. Number:
I hereby register the following participants for the following courses:
Course Number Title Beginning Location Price
Remarks:
Participant (insofar as different from orderer):
Surname, First Name: Personnel Number 1) :
Department: Telephone No.: E-mail:
Street: Postal (ZIP) Code: City:
Participant (insofar as different from orderer):
All prices exclude the lawful Value Added Tax. All sales and delivery conditions from the current Sitrain catalog are effect.
1) Only for Siemens employees: Give personnel number or GID No.
© Siemens AG 2009
.
Nationality:
Surname, First Name: Personnel Number 1) :
Department: Telephone No.: E-mail:
Street: Postal (ZIP) Code: City:
Nationality:
Only for Siemens employees: Org-ID: Order-Nr: AWV: GBK:
City, Date Signature/In Block Letters