(hint - right click on this form, then hit print....)

54th Annual
Ohio Arson School
 Registration Form
August 4 - 8, 2008

  


~NO REFUNDS after July 31, 2008~
~Registration Fee: $275.00~   
~NO SHOWS ARE NON-REFUNDABLE~
 

Note:  Check or Purchase Order must be included with Registration in
order to hold your spot at the school!
 
Name: ____________________________________________________________________
           (Last)          (First)     (Middle Initial)
 
Title:
__________________________________________________________________________
Department/Organization:
__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________
Business Address:
__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________
 
Telephone (             )   _________  - __________  

Email:  _______________________________________
Purchase Order Number/Check Number:
(for internal use only)_________________________________________________________

Pre-Registration Sunday, August 3rd (4-6pm)
Questions? Call US!  614-989-8168 (toll-free 866-610-4262)