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

1-Day (8-Hour) EPA AHERA Virginia Asbestos Project Monitor Refresher Class

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

Course Selection
January 22, 2010 Special $150.00	July 16, 2010
February 19, 2010	August 20, 2010
March 19, 2010	September 17, 2010
April 23, 2010	October 22, 2010
May 21, 2010	November 19, 2010
June 18, 2010	December 17, 2010

Billing Information
Company:
Attention:
Address:
Telephone:
Fax :
Email:

Payment Information (See Calendar for Early Registration Dates)

$150.00 Prior to early registration date

$175.00 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

1-Day (8-Hour) EPA AHERA Virginia Asbestos Project Monitor Refresher Class

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