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* 1. Full Name

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* 2. Email Address

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* 3. Phone Number

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* 4. Alternate Contact Name & Phone Number

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* 5. How did you hear about the pipefitting class?

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* 6. Do you prefer a day or evening class?

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* 7. Have you earned your HS Diploma or GED? WE'LL HELP YOU EARN YOUR GED!!

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