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Service School Registration
Choose School:
- Notify me when the next Commercial Municipal School is available
- Notify me when the next Irrigation School is available
- [we need to be able to add schools and edit the name, date, and cost] Commercial Service School on ___/___/___ Cost: $XXXX
- [we need to be able to add schools] Irrigation Service School on ___/___/___
Company: _____________________________
Address: _____________________________
______________________________
City: ________________ State ____________ ZIP: _____________
Country _______________________________________
Office Phone: _____________________________________
Office Fax: _____________________________________
Office/Billing Contact Name: ______________________________
Office/Billing Contact E-Mail: _______________________
Attendee:Name ______________________________________Cell Phone: ________________________
E-Mail: ___________________________
Room Preference: Single Occupancy Double Occupancy
Smoking Preference: Nonsmoker Smoker
Pump Basics Day? Yes No
VFD Instruction Day? Yes No
Other specific training needs : __________________________________________________________________
Add this person to shopping cart and proceed to checkout ----> [to shopping cart]
Add this person and register another -----> [like it says . . .]
[Integrate with Verio's Shopsite software for billing]
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