Johnson Controls Institute
Application for Enrollment

Enroll now.
Applications will be accepted on a first-come, first-served basis.
Class size is limited and preregistration 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:
(414) 524-4274

CurrencyNotice

Student Information
Name of Applicant ( Please Print)
Position/Title
Are you a Johnson Controls: ABCS   #
Name of Employer
Company/Organization Address
City
State
Zip
Phone ( Please include area code)
FAX ( Please include area code)
Student E-Mail Address
Course Registration Information
Course name
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 Policy: Please include check or credit card information with your application and payment. Thank you.
Payment must be received 10 days prior to course start date.
Early Payment Discount:  Subtract  $50 from each student's tuition when full payment is made 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.
5-Pack 10-Pack or Personal Passport 3-Pack Course Vouchers:  See page 1 of catalog for details.

Payment Method Selected:

Visa® or     MasterCard® or     American Express®
Card #:      

Exp. Date:

Signature ____________________________________________________

Or
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 #

__________

Service Ticket #

__________


Sales Person Name:
 
__________

 

Cancellation Policy
Refunds will be issued only if you notify the Institute at (414) 524-4286 or 1-800-524-8540 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; however, you may substitute another student at any time. 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.

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