Onsite Training Request Form

Please enter the requested information and press the Submit button when complete. Your registration request will be instantly e-mailed to Training Services at AspenTech. If you wish, you can print this form, complete the information and fax it to your regional training coordinator.

Note: This is a secure page so the data you enter is encrypted when you submit it to us. Fields in red are required.

Select Your Courses

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Please briefly explain your course needs (targeted audience and learning objectives). If applicable, state any customization requirements (detailed course descriptions are available).

Possible Dates for Onsite Training

First choice, week of:		Second choice, week of:
Third choice, week of:

Proposal Contact Information
(Person who will be working with AspenTech to plan the training and sign the proposal)

Salutation:

First Name: Last Name:

Title: Company/University:

Department: Company VAT No. (Europe) /
GST No. (Canada):

Address Line 1: Address Line 2:

City: State/Province:

Postal Code: Country:

Telephone: Fax:

E-mail:

Onsite Contact Information
(Person who will be the primary contact at the site at which the training will be given)

Same as contact information above

Salutation:
First Name:		Last Name:
Title:		Department:
Address Line 1:		Address Line 2:
City:		State/Province:
Postal Code:		Country:
Telephone:		Fax:
E-mail:

Billing Contact Information
(Person responsible for payment to whom final invoice will be sent)

Same as Proposal Contact information above Same as Site Contact information above

Salutation:
First Name:		Last Name:
Title:		Department:
Address Line 1:		Address Line 2:
City:		State/Province:
Postal Code:		Country:
Telephone:		Fax:
E-mail:

Onsite Class Information

Will your company require a Purchase Order (PO) be referenced for Payment? Yes No
If Yes, will your company require you to send AspenTech a hardcopy PO, or will you be providing a PO number for reference only?
Hardcopy PO Number Reference only

Number of Attendees (10 maximum):

Number of available PCs for this onsite training:

Version of AspenTech software:

Will AspenTech need to provide temporary licenses for this onsite training?

Will Internet Access be available for onsite training?

Please read Training Cancellation Policy before submitting this form.

I have read the cancellation policy.