For Information Contact:
Robin H. Liebal
400 West Main Street
Christiansburg, Virginia 24073
Telephone: 540.381.7999
Fax: 540.381.7990
Email: robin@BEST-HDHT.com

Registration Form

Half-Day (4-Hour) EPA AHERA Asbestos Management Planner Refresher Class

Participant Information
Name:
Company:
Address:
Telephone:
Fax:
Email:

Course Selection
January 21, 2010 Special $125.00	July 15, 2010
February 18, 2010	August 19, 2010
March 18, 2010	September 16, 2010
April 15, 2010	October 21, 2010
May 20, 2010	November 18, 2010
June 17, 2010	December 16, 2010

Billing Information
Company:
Attention:
Address:
Telephone:
Fax :
Email:
	Register for both the Inspector and Management Planner Refresher courses prior to the early registeration deadline and receive both classes for $200.00.

Payment Information (See Calendar for Early Registration Dates)

$125.00 Prior to early registration date

$150.00 After early registration date

Cash

Check

Credit Card

(Please contact BEST at 540.381.7999 with credit card information.)

Direct Bill

(Please contact BEST at 540.381.7999 with direct bill information.)

Registration Form

Half-Day (4-Hour) EPA AHERA Asbestos Management Planner Refresher Class

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