TrainingLocation:CerritosCollege
Course#:814009STI(InState)
Course#:814009STO(OutofState)
TrainingDates:August1416,2009
AttendeeInformation
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Name: __________________________
Name(2): __________________________
Name(3): __________________________
Company: __________________________
Address: __________________________
City: __________________________
State: __________________________
ZipCode: ____
______________________
Phone: __________________________
Email: __________________________
MainContact: __________________________
Phone: __________________________
Email: __________________________
SnapOnDiagnostic
TraintheTrainerCertification
RegistrationFees
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TrainingFee: _____________
InState:$422.00
OutofState:$729.00
xNumberofAttendees: _____________
TotalDue: _____________
Paymentdueby: August4,2009
MakeCheckOutTo:
CerritosCollegeFoundation
MailCheck&/orApplicationTo:
CerritosCollege
ATTN:JannetMalig
11110AlondraBlvd.
Norwalk,CA90650
SpecialNeeds:
ContactUs:
Phone:JannetMalig:5628602451x2912
Email:jmalig@cerritos.edu
Fax:5624675095
www.cerritos.edu/auto
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