Johnson Controls Training Institute
Application for Enrollment

Enroll now.
Applications will be accepted on a first-come, first-served basis.
Class size is limited and pre-registration is advised.

Download our Application for Enrollment in PDF format.

Mail this form and payment to:
Johnson Controls Institute / M45
507 East Michigan Street
Milwaukee, WI 53202		 Telephone:
(414) 524-4286
(800) 524-8540		 Fax this form to:
877-403-6625
Student Information
Name of Applicant
Name of Employer
Company/Organization Address
City
 State
 Zip
Telephone Number (Please include area code)
 Fax Number (Please include area code)
Student E-Mail Address (required for confirmation)
Course Registration Information
Course Name

Payment Policy

Please include check or credit card information with your application. To mail your application and payment, use Institute address (above).
Thank you.
Course #
 Location
First Choice Date
Second Choice Date
Prerequisite Course Completion Date
Method of Payment

Currently, we do not offer a secure transaction system.
This form must be printed, then faxed to the number at the top of this form or mail with payment to the Institute address at the top of this form.

Payment must be received 10 days prior to course start date.

Early Payment Discount of $100 for each student's tuition if full payment is received 30 days prior to the start of course.

Multiple Student Discount To qualify, enroll two or more students at the same time, for the same course on the same date at the same location, and make full payment at the time of booking.

**Early Payment Discount does NOT apply to any voucher payments.**
5-Pack    10-Pack
Personal Passport 3-Pack Course Vouchers: See page 3 of the catalog for details

Payment Method Selected:
Visa®   or MasterCard®   or American Express®
Card #:   Exp. Date:

Signature ____________________________________________________

Email Address (to send receipt)

Check for $____________ (in U.S. Currency), payable to Johnson Controls Institute.
Please attach check and application form together. Note: current prices may change.

Tax Deduction

U.S. Treasury Regulation 1.162.5 permits an income tax deduction for educational expenses incurred to maintain or improve professional skills. Consult your tax advisor for details.

For Johnson Controls Branch Use Only

Contract #

_________________

Sales Person Name

_________________

 

 
Cancellation Policy
Refunds are issued only if you notify the Institute at (414) 524-4286 or (800) 524-8540 that you cannot attend, no less than fourteen days prior to the start of the course. You are liable for the entire course fee if cancellation is received after this deadline; you may substitute another student, or enroll in another session. Johnson Controls reserves the right to cancel any of its courses; if cancelled, all registrants will be notified at least ten days before the start of the course.