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Private Classes Registration Form
Class Location
Type of Course
Nuclear Gauge Certification Training Class
Radiation Safety Officer Class
Company Name
Contact Person
*
Company Address
Contact Phone Number
*
City
State/Province
Zip
Country
Email Address
*
Number of Attendees Expected
Suggestion for Dates
ESTIMATED COST OF CLASSES
Flat Fee
$1200.00
Expected people over 10
x $35
$
Miles TO and FROM
x $0.415
$
Per Diem
$
ESTIMATED TOTAL
$
Hotel (Give suggestions)
*
Denotes A Required Field
Payment Options
Send check in advance and mail it to:
ATLANTIC SUPPLY, P.O. BOX 17620, CLEARWATER, FL 33762
Bring check to class
Bill Account P.O. Number
Visa/Mastercard/American Express
**
**
For security reasons, if you have selected Visa or Mastercard for the payment option, you will be contacted directly for credit card information.
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