WRMCA hosting ACI Concrete Field Testing Technician Grade 1 Class

REGISTRATION

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* 1. First & Last Name

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* 2. Email

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* 3. Company

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* 4. Phone

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* 5. What is the address you would like Study Materials mailed to?

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* 6. City

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* 7. State

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* 8. Zip Code

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* 9. Class Date

February 8th in Milwaukee

March 21st in Eagle River

April 11th in Green Bay

May 16th in Fond du Lac

June 6th in Madison

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* 10. Registration

1. Full Class - Member – $500

2. Full Class - Non-Member – $700

3. Full Class - Full time Student – $400

4. Re-Exam (Written OR Field Test ONLY IF FAILED EXAM IN PAST 12 MONTHS) – $300

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* 11. Which payment method? Note a 4% Credit Card Processing Fee

Mail Check to WRMCA, 44 E. Mifflin St., Suite 305, Madison, WI 53703

Credit Card Number

Credit Card Number & Expiration Date

WRMCA hosting ACI Concrete Field Testing Technician Grade 1 Class

REGISTRATION

Question Title

* 1. First & Last Name

Question Title

* 2. Email

Question Title

* 3. Company

Question Title

* 4. Phone

Question Title

* 5. What is the address you would like Study Materials mailed to?

Question Title

* 6. City

Question Title

* 7. State

Question Title

* 8. Zip Code

Question Title

* 9. Class Date

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* 10. Registration

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* 11. Which payment method? Note a 4% Credit Card Processing Fee

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* 12. Do you have any additional questions or comments?