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Evergreen Medical Services, Inc. ASSE 6010 & 6020
Registration for ASSE 6010/6020
Registering for:
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Personal Information
First Name
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Last Name
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Address (Where card will be sent)
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City
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State
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Zip
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Email Address
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Home Phone
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Cell Phone
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Employer Information
Present or Last Employer
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City
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State
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Employer Phone Number
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Employer Email
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Installer applicant has at least 4 years piping experience in the installation of piping systems:
Inspector applicant has at least two years practical experience.
Applicant must be employed as government plumbing and/or mechanical inspector; or be regularly involved in the design, inspection, or verification of medical gas systems.
Payment Information
Payment Method
If paying by credit card, an Evergreen representative will contact you to obtain credit card information.
Email address for confirmation email:
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Questions or Concerns?
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Evergreen Medical Services, Inc.
If mailing a check, mail to:
Evergreen Medical Services, Inc.
21 Loop Road
Arden, NC 28704
Questions? Call 800-872-8992 or email lisa.lowe@evergreenmedical.com
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