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2012 Concrete Technician Level 2 Registration Form 
     

Please complete the following information ::

Full Name
Title
Last 4 digits of Social Security #
Company
Mailing Address
City
State
Zip Code
Contact Phone
E-mail
ORMCA Member  
Course Date & Location

Cancellation Policy: All cancellations subject to a $15 processing fee. Cancellations must be made at least 7 days prior to the start of the class to receive a refund.  “NO SHOWS” will be charged full registration fees. No credits will be carried over to the next year. A late fee of $15 will be assessed to those registering within 7 days of the examination.  Classes are subject to cancellation based on the number of registrants.  Registrants will be notified at least one week  prior to the start of the course of any cancellations or changes.  Course fees are subject to change.