Yaskawa America Inc. Drives Road Show Questionnaire v.200

A Little More Information

If you don't know this information, don't worry. We can get it later.

Who is the Yaskawa Sales Representative that you work with?

Proposed class starting time. (8:00am if left blank) Please note, class length is eight hours.

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Classroom Information

Do you know any details about the classroom? If not, no worries.

Where exactly will the class be held? (Company office? Name of hotel? Factory?, Street Address, City, State, Zip)

Is there a specific classroom contact, other than the sponsoring contact? (First Name Last Name)

If so, what is the classroom contact's phone number?

If so, what is the classroom contact's email address?

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Class Material Information

Can you provide us with any of the info below? If so, we can start to arrange the delivery of the class materials.

What is the estimated attendance per day? (Minimum is 6, Maximum is 18)

Please Note: If the fields below are left blank, class materials will be shipped to the sponsor’s address and contact information. Do you understand and agree to this?

What address should the class materials be shipped to? We cannot ship class materials directly to a hotel. (Organization Name, Street Address, City, State, Zip)

Is there a class materials contact, other than the sponsoring contact? (First Name Last Name)

If so, what is the class materials contact's phone number?

If so, what is the class materials contact's email address?

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Special Notes

Anything special you want us to know?

Do you have any preferences and/or restrictions for date, day, time, season?

Do you have any special interests that you would like the class to focus on?

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