NFSA Live On-Line Seminar Registration Form

NFSA Live On-Line Business Seminars
Registration Form

NFSA is proud to announce the second half of the year Business Seminars for 2009. Full course descriptions can be found here.

The Fire Sprinkler Industry "State of the Economy" - March 18, 2010
How to Use Sprinkler Save Information - April 15, 2010
Working with the News Media - May 20, 2010
Gathering Stakeholders and Building Bridges- Planning for the IRC adoption - June 17, 2010

NFSA Member Cost Structure ($125 per session)

NON-NFSA Member Cost Structure ($250 per session)

A late registration fee of $25 will be added if order is received less than 24 hours prior to the seminar.
Participant will receive a verification email upon signing in. Participant certificates are also available for $25 each for members and $50 each for non-members.
Cancellation Policy:
You may receive a full refund, upon cancellation five full days prior to the seminar date.
You may receive a 50% refund, upon cancellation up to three days prior to the seminar date.
Call (845) 878-4207 to cancel or for further information.

Methods of payment:
1) Fill out this form and mail payment to:
National Fire Sprinkler Association
Internet Seminars
40 Jon Barrett Road
Patterson, NY 12563
2) Print this page and fax it with your credit card information to (845) 878-4215
3) Submit Credit Card On-Line - This page is fully secure and encrypted!
4) or by phone: Call Mike Repko at (845) 878-4207.
*Note: Username and Password will not be sent until payment is received.

"*"=Required field

Name:*
Company:*
Address:*
City/State/Zip:*
E-mail:*
Telephone:*
Fax Number:
Are you currently a member? *YesNo
Membership Number (if applicable):

Contractor/Installer, Contractor/Maintenance & Journeymen Fitters operating in the
States of Wisconsin and Florida, please provide the following to obtain state CEU credits:

License Number:
Mother's Maiden Name:

Is cardholder address the same as above? YesNo
Cardholder Name:
Cardholder Address:
Cardholder City/State/Zip:

Type of Credit Card: *Visa MasterCard Amex Discover
Credit Card Number: *
Expiration Date (MM/YY): *
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