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   NEW! ON-SITE TRAINING AVAILABLE FOR NON-LAB CLASSES
   The Official IARW-WFLO Ammonia Refrigeration Training Program
   10% Discount for all IARW-WFLO Members
   
Registration Form
Bold fields are required.

ATTENTION: Written confirmation must be received from Lanier Technical College before applicant is accepted.
BILLING INFORMATION
Company Name   * 
Company T.I.N.
(Federal tax I.D. #)		  * 
IARW Member?
 * 
Purchase Order Number
Credit Card #
(Visa/Mastercard/Discover Accepted)
Expiration Date
Verification Code
(3 digits at signature line on back of card)
PURCHASE ORDER NUMBER OR PAYMENT METHOD MUST BE RECEIVED PRIOR TO REGISTRATION. IF PAYING BY CHECK, PLEASE INCLUDE COMPLETED REGISTRATION FORM IN ENVELOPE.
Address  * 
City  * 
State
Zip Code  * 
Country  * 
CONTACT INFORMATION
Contact Name  * 
Phone  * 
Fax  * 
Email  * 
SELECT ONE OR MORE COURSES 
Courses with no checkboxes indicate NONE AVAILABLE.
1. Industrial Ammonia Refrigeration Level I
$1250.00


2. Ammonia for Non-Operators
$495.00

3. Industrial Ammonia Refrigeration Operator I - Spanish Version
$1250.00
4. Industrial Refrigeration Operator Refresher
$750.00
5. Industrial Ammonia Refrigeration Level II
$1250.00


6. Industrial Ammonia Refrigeration Level III - Technical
$1250.00

7. Maintenance & Troubleshooting for Refrigeration Operators
$1250.00

8. PSM / RMP for Ammonia Operator
$995.00
9. HAZMAT 8 Hour Refresher
$295.00
10. HAZMAT 24 Hour Technician
$595.00
11. HAZMAT On-Scene Incident Command
$295.00
12. Introduction to Industrial Maintenance
$995.00
13. PLC Maintenance & Troubleshooting - Allen Bradley
$750.00
14. RETA Basic Electricity I
$1250.00
15. RETA Basic Electricity II
$1250.00
16. RETA Control Theory & Fundamentals I
$1250.00
17. RETA Control Theory & Fundamentals II
$1250.00
REGISTRANT INFORMATION
Registrant 1
First Name  * 
Last Name  * 
Date of Birth  * 
Social Security #  * 
Email
Registrant 2
First Name
Last Name
Date of Birth
Social Security #
Email
Registrant 3
First Name
Last Name
Date of Birth
Social Security #
Email
Registrant 4
First Name
Last Name
Date of Birth
Social Security #
Email
Registrant 5
First Name
Last Name
Date of Birth
Social Security #
Email
 
 
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© 2010 Lanier Technical College
2990 Landrum Education Drive, Oakwood, Georgia 30566
Phone: 770-531-6300 | Fax: 770-531-6328
A Unit of the Technical College System of Georgia
An Equal Opportunity Institution.