OSHA 30-HOUR CONSTRUCTION SAFETY COURSE REGISTRATION FORM DATE: TIME:
ATTENTION ACCNJ MEMBERS!!! Did you hire a summer intern through the CIAP Scholarship Program?
May 18-21, 2015 8:30a.m. - 4:30p.m.
Add your student(s) to this form and return to ACCNJ if you would like them to participate.
LOCATION: Association Offices Edison, NJ COST:
They are eligible to attend the OSHA 30 at no cost to you or them!
$349 ACCNJ, BCAAC, BCASJ & FCINJ members $659 Non-Members
Company: Contact: Address: Phone:
Fax:
E-mail: Name(s):
Total Amount Enclosed: $ Make checks payable and mail to: ACCNJ, Raritan Center Plaza II, 91 Fieldcrest Ave., Suite A19, Edison, NJ 08837 Phone: 732 225-2265 / Fax: 732 225-3105 /
[email protected] Please note: Classes are limited to the first 20 participants, with a 10 person minimum. Registration forms will be accepted on a first-come, first-served basis - no verbal registrations will be permitted. Additional programs will be added based on demand.
