Payment Authorization

Cardholder Name & Billing Address:

_______________________________________________

_______________________________________________

_______________________________________________

Phone #: __________________________

E-Mail: ________________________________

Attendee (if not cardholder): ___________________________________

Mailing Address: __________________________________________

_______________________________________________

Phone #: ___________________________

Course#: ___________________________

# of Attendees: __________ x $ _________ Total $ _________

Name(s) of Additional Attendees:

____________________________________________________________

(Circle) AMEX VISA MC

Credit Card #: _________________________ Exp. Date: ___/___

Last three numbers on back of card (VISA/MC): __ __ __ or four numbers (AMEX): __ __ __ __

I, _____________________, authorize Zope Corporation to charge the above credit card for training course attendance. I confirm that the above information is true and accurate.

Signature: ________________________________________ Date: ________________

Mail to:
Zope Corporation
Lafayette Technology Center
513 Prince Edward Street
Fredericksburg, VA 22401-5742
Or
Fax to: (703) 995-0412

Zope is superior to other content management solutions provided by the competition because of its object-oriented nature, allowing rapid development via code reuse and extension of proven functional modules.
- Bob Corriher, Director of Web Engineering, P-Wave Inc.