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Legal Full Name: *Input your name as it appears on your drivers license

Your Title/Position: *

Email: *

Are you a US citizen?: *

Yes
No

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Company: *

Company Address: *

Business Phone: *

Will you be bringing a laptop: *

Yes
No

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Do you have a MyMakino account?: *

Yes
No

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Your Supervisor/ Manager: *

Supervisor Email: *

Machine Type: *What machine do you have?

Type of Control: *What is the control on your machine?

Course Name: *

Shirt size:

Course Location: *

Student Type: *

Class Date: *

Have you received formal shop safety training?: *

Yes
No

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PLEASE READ:
Makino’s machines, technical data, and courseware are regulated under US Export Administration Regulations (EAR). In order to satisfy US Export Administration Regulatory requirements, all class attendees must undergo a denied party search. Proper photo ID (i.e., driver's license or alternative photo ID) must be provided by all attendees to the registrar no later than 1 week prior to the first day of training. Foreign national attendees must provide passport identification prior to attending class. Makino reserves the right to refuse training or technology transfer to anyone who does not provide sufficient documentation.

Provide picture of government ID: *Using phone, tap on add files and use phone camera to take picture (Goverment IDs only!)

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Course Payment: *If paying with a PO or Credit Card, please contact us at training@Makino.com to get us this information.

Makino Training Credit
PO
Credit Card

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I agree not to export or transfer the documentation received in Makino's training classes.: *

YES
NO

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Student Signature: *

Training Department Use Only:

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Training Department Use Only:

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TERMS OF AGREEMENT: *The United States government forbids Makino and all United States companies from granting access to technical product data in the form of courseware to citizens or permanent residents of embargoed countries. Registrant understands he/she must confirm he/she is not a citizen nor permanent resident of any country on the United States embargoed or Denied and Restricted Parties List as it exists in fact. The information I will provide is accurate, true, and correct to the best of my knowledge. I understand and agree that my failure to provide accurate, true, and correct information or to respond to requests by Makino for additional information shall constitute grounds for rejection of my registration. I have read the above regulations and agree not to export or transfer the technology or documentation received in Makinos training classes.