Read Microsoft Word - REGISTER Oct 4, 2010 EXAM.doc text version

Alan Chech

Electrical Seminars Phone/Fax 609-890-7072 E Mail: [email protected]

EXAM DATE ­ October 4 , 2010


Registration Form ­ Please complete and mail with your payment Classes meet on Saturdays Aug. 28, Sept. 11, 18, 25, and Oct. 2, 2010 8:00 am to 3:30 pm

Full Registration (5) days - 35 hours total................................$

Full registration includes electrical calculations text book


$ 375.00 Deposit required with registration

Balance of $ 300 due at first class (no credit cards accepted at class location) Amount Paid............................_____________ Registration & Payment is also accepted via your credit card or PayPal on line at:

Class Location: RAMADA INN, 1083 Route 206 North, Bordentown, NJ

(at Exit 7 New Jersey Turnpike)

------------------------------------------------------------------------------------------------------------------Name: First ____________________ Middle________________ Last_________________________________ Company Name: ___________________________________________________________________________ Mailing Address _______________________________________________________________________ City_____________________________________State___________Zip_____________ Phone Number ( Cell Number ( ) _________________________ Fax Number ( ) _________________________ ) __________________________

E- Mail Address ** _______________________________________________________________________ **Confirmation sent via e-mail only Additional study material will be sent via e-mail for your preparation before the start of classes

Referred by previous student: ________________________________________________________________________

Please make check payable to and mail to:

Alan Chech PO Box 3477 Trenton, NJ 08619


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