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.

Participant's Name *

Your answer

Agency *

Your answer

Rank/Position

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Street Address *

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City *

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State/Province *

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ZIP *

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Phone

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E-mail *

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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) *

XXL

I don't want a shirt.

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