2016 IIDA Oregon Chapter Education Fund- NCIDQ/LEED Reimbursement
Please send passing exam results and proof of payment (receipt or copy of statement) to info@iida-or.org by June 1st.
Name:
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IIDA Membership #
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Email address:
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Daytime Phone:
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Mailing Address:
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Date of Exam
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Amount paid
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Which certification are you applying for reimbursement of?
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Certification Number:
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Date of Submission
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