Restoration Industry Association -- Educational Programs and Events Registration

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Educational Programs and Events

REGISTRATION FORM

Mold Remediation Project Supervisor Course 2006

April 27-28, 2006—Sacramento, CA · August 24-25, 2006—Elmsford, NY

CECs: RIA—2 credits; IICRC—1 mold, 2 cleaning/restoration; NADCA—4 credits

If you do not receive a confirmation for your purchase from RIA by Wednesday, September 20th, please contact the RIA office at (443) 878-1000. Thank you.

ATTENDEE INFORMATION

* = REQUIRED FIELD

Company: *

Address:

City:

State:

Zip:

Phone:

Fax:

Contact Email: *

Attendees: *

CLASS DATES AND LOCATIONS

Select which class session you will be attending:

April 27-28, 2006 Sacramento, CA
Steamatic of Sacramento
8200 Berry Avenue, Suite 160
Sacramento, CA 95828-1612
Time: 8:30am - 4:30pm
August 24-25, 2006 Elmsford, NY
All Pro Cleaning & Restoration
13 Haven St.
Elmsford, NY 10523-1933
Time: 8:30am - 4:30pm

A list of hotels will be provided upon registration.

SEMINAR COST

$650 per person for RIA Members

$850 per person for non-members

* The course cost does not include the book. You will be required to have this book for the course. You may purchase one by contacting RIA.

PAYMENT

Please charge my American Express MasterCard Visa

for the total of $

Cardholder name

Credit card number

Expiration Date

Month: Year:

SUBMIT

You may also FAX this form to:

(443) 878-1010

or MAIL this form (with payment) to:

RIA International
9810 Patuxent Woods Dr., Suite K
Columbia MD 21046-1595