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? *
PO number, if applicable
Your answer
Will you be a resident (require housing) or commuting? *
If you would like a shirt, what size? (+ $25) *
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