~ ~ ~ INCLUDES IFSAC CERTIFICATION TEST ~ ~ ~
Registration Form
To register to attend this event, complete the form below. Those fields marked with
are required fields and must be filled-in, in order to submit your registration.
Department Information
DEPARTMENT NAME
BILL ADDRESS
CITY
STATE
ZIP CODE
BUS. PH.
FAX. PH.
BILLING E-MAIL ADDRESS
PO NUMBER
Individual Information
FIRST NAME
LAST NAME
DAY PH
EVE PH
CELL PH
MSG PH
E-MAIL ADDRESS
CANCELLATION / NO SHOW POLICY
Pre-payment of classes is not required if accompanied by a Purchase Order and/or Billing is to a fire department. Your agency will be invoiced. No Shows and/or Cancellations within 14 days will be charged full registration fees. Any registrations received after a class deadline will be accepted on a case by case basis, depending on availability of classes. You will receive an e-mail confirmation via the E-mail address listed on your registration.