IUOE Local 99 - SPRING 2013 CLASS REGISTRATION FORM

I would like to register for the following class(es):

HVACR II
Basic Boiler Operation
Plumbing Maintenance and Repair
Basic Electricity
Locksmithing Certification
Commercial Kitchen Equipment Repair and Maintenance
HVACR Electrical Troubleshooting

Homeland Security Training
Advanced Engineer Training II
Energy Conservation Course
OSHA Safety Certification
Bearing Maintenance Training
Chief Engineer's Course
Advanced Engineer Training I
Indoor Air Quality
HVACR I
Locksmithing Advanced
Basic Instrumentation and Controls

CFC Certification:

Enclosed is(are) my check(s) totaling $_________ for the class(es) indicated above.

You are now able to pay for your classes with VISA or MasterCard.  If you choose to pay with a credit card, please call ext. 17 after registration is faxed to Local 99.

Please make checks payable to JAC

Name:__________________________________________________________________
Address:________________________________________________________________
_______________________________________________________________________
Home Phone:_____________________________________________________________
Work Phone:_____________________________________________________________
Email Address:__________________________________________________________
Employer:________________________________________________________________
Site: ____________________________________________________________________

Note: Registration is not accepted without payment. A minimum of fifteen students is required for all courses. The $25.00 member registration fee is non-refundable.

Send completed form and payment(s) to:
JAC Local 99
2461 Wisconsin Avenue, NW
Washington, DC 20007