HRP Associates, Inc - ENVIRONMENTAL MANAGEMENT SYSTEM (EMS) TRAINING REGISTRATION

ENVIRONMENTAL MANAGEMENT SYSTEM (EMS) TRAINING REGISTRATION

EMS TRAINING REGISTRATION

Please complete one form per person

Name:

Title:

Email:

Phone:

Fax:

Institution:

Address:

I would like to register for the following training session:

Course Name	Date	Cost	Discount for 3 or more attendees	Select

Orlando, FL Florida Hospital College of Health Sciences	March 23, 2009	$500 per person	$375 per person
Winston-Salem, NC Salem College	March 27, 2009	$500 per person	$400 per person	email Frances Fontaine at fontaine@mail.ncicu.org
Please send one check per institution Checks should be made payable to HRP Associates, Inc.

Before submitting this form, please print it out and return with your payment to:

HRP Associates, Inc., 197 Scott Swamp Road, Farmington, CT 06032

Deadline for registration is March 11, 2009 for North Carolina and March 16, 2009 for Florida

If you have questions, please contact

North Carolina Colleges and Universities - Tad Goetcheus or Jerris Brandon at 1-800-752-3922

Florida Colleges and Universities - Catherine Eichner at 727-942-2115