Registration Form Continuing Education Classes Complete Registration either Fax to
(888) 519-0752 or Email to Darrylm@twg-inspector -training.com
| Please sign me up for the The continuing education classes circled below. The cost of the mandatory plus 8 hours electives is $270.00. | Circle Payment Method: If paying by check fax or email registration form. Bring check to class The Washington Group P.O. Box 16151 Greensboro, North Carolina 27406 | American Express Visa Mastercard Discovery
| Credit Card Number#:
4 Digit Security Code : Exp Date:
| Name(as it appears on credit card):
| Signature:
| Billing Address:
| Billing City
| Billing State
| Billing Zip Code
| NCHILB#
| Area Code + telephone Number: ( ) -
| Email Address:
| Circle the class date: | August 13/14 August 20- 22 August 27/28 September 3/4 September 5/6 September 7/8 | | | |
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Cancelation Policy - If cancel more than 30 days from seminar $20 process fee. If canceled within 30 days a $25 process fee with be charged. If canceled with 15 days of seminar
$50 process fee. If a no show at seminar full fee will be charged. If canceled due to family emergency arrqangements to be made for the next seminar please contact us.