Technical Training Associates Workshop Registration Form

GREEN TECHNICIAN CERTIFICATION WORKSHOP

Energy Audits, Building Inspections, Duct Sizing & Air Flow In HVAC Systems, and Indoor Air Quality Issues For Maintenance Technicians

Phoenix, AZ: June 23rd, 24th and 25th, 2010

COMPANY NAME _______________________________________________

STREET ADDRESS _____________________________________________

CITY ________________________________ STATE _______ ZIP_________

Phone _________________________FAX____________________________

ATTENDEES:

Name: _________________________________________________________

Name: _________________________________________________________

Name: _________________________________________________________

Name: _________________________________________________________

Name: _________________________________________________________

WORKSHOP FEE: $345 Per Person

Check, Money Order, Visa or MasterCard Accepted. Purchase orders accepted from Public Schools, Universities, Colleges and Government Agencies.

CREDIT CARD INFORMATION:

___ Visa      ____MasterCard   _____Discover     ____AMEX

CARD # ____________________________________________________

EXP. DATE _____________  SECURITY CODE________

SIGNATURE __________________________________________

Send This Form To:

Technical Training Associates, HC 70 BOX 3172, Sahuarita, AZ 85629

Or, Fax to 520-648-3334