Matthews Paint Company Training Series REGISTRATION FORM This form must be completely filled out to properly register you for class.

Participant - print clearly Date: Last 4 Digits of SSN:   Class Information Date desired: See Course Schedule from MPC Rep Name:   1st Choice: 2nd Choice: Home Address:   City:   State: Zip:   Location Desired: Phone Number:   Email Address:   Job Title:   You will receive a CONFIRMATION LETTER shortly after you send this registration to us. It will include hotel information you may need, map and/or directions to the class location. There is currently no charge for this class. You are responsible for all hotel and travel costs. Hotel reservations - You are responsible! Do not make airline or hotel reservations until you receive a written confirmation letter. Do you have any health concerns which prohibit you from working with paint products?   Yes No   If yes, what are they?   Participant's Company / Employer   Name:   Address:   City: Cancellation Notice State: Zip:   If you must cancel your registration, as a professional courtesy, please allow five (5) business days prior to the start of class. Phone Number:   Fax Number:   Press SUBMIT to email the form, FAX it, or forward this completed application to: PPG Industries, 19699 Progress Drive, Strongsville, OH 44136 Attn: Darlene Stamper     dstamper@ppg.com Phone: (800) 970-2283     Fax: (800) 227-4952 You will receive an acknowledgement notice by fax, along with a map and/or directions and hotel information.