Southern New Jersey Chapter of ASHI®
EDUCATIONAL SEMINAR
Advance Registration Form
Wednesday, April 21, 2010
7:30 AM - 4:30 PM
- HISTORIC BUILDINGS - STRUCTURAL & FOUNDATION ISSUES
- ELECTRICAL SYSTEM DEFECT RECOGNITION
- INSPECTOR SAFETY
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Register Early!
Attendance Limited to 125
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| Pre-registered before April 1, 2010 : |
$ 95.00 |
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| Late Registration after April 1, 2010 |
$110.00 |
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| Walk-ins (There might not be seats
available) |
$110.00 |
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Location: RWJ Hamilton
Conference Center 3100 Quakerbridge Road, Mercerville, NJ
If you have any questions, please call: Rick Lobley at (609) 208-9798 or
e-mail info@southernnjashi.com
Detach here
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Registration Form
Name (as it appears on your H. I. License):
___________________________________________________
Company: ___________________________________________ Phone:
__________________________
Address:
_____________________________________________________________________________
City, State, Zip:
________________________________________________________________________
E-mail: ________________________________________________ NJ Lic.
# 24GL000_______________
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PLEASE MAKE CHECK PAYABLE TO: Southern NJ ASHI
MAIL CHECK AND REGISTRATION FORM TO:
Rick Lobley, SNJ ASHI,
6 Robinson Road,
Allentown, NJ 08501
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Amount Enclosed: $__________
-Thank you
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