New England Fire Investigation Seminar Registration Form

New England Fire Investigation Seminar Registration Form

Please complete the following form for EACH registering participant. Registration will be confirmed when payment is received. Payment will be accepted via PayPal or check/PO.

* Required

Participant's Name *

Your answer

Agency *

Your answer

Rank/Position

Your answer

Street Address *

Your answer

City *

Your answer

State/Province *

Your answer

ZIP *

Your answer

Phone

Your answer

E-mail *

Your answer

How do you intend to pay? *

PayPal

Check/PO

PO number, if applicable

Your answer

Will you be a resident (require housing) or commuting? *

Resident

Commuter

If you would like a shirt, what size? (+ $25) *

S

M

L

XL

XXL

I don't want a shirt.

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