Register for a Workshop

Name of Workshop

Registrant(s)

Contact Person (if group)

Entity (Municipality/State Agency/RPC/Organization/Other)

Disclaimer:

The town acknowledges and accepts that its participating representatives are acting in their scope of employment while attending this training.

Disclaimer above:

Yes

Mailing Address

Street Address

City/Town

Other City|Town

State

Postal /Zip Code

Phone Number

Welding Shirt Size

If registering for the Introduction to Welding Processes workshop please include a shirt size so we can order the equipment. Thanks

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