Please
complete separate form for each class, thank you.
Course
Title:

IMPORTANT:
All individuals registering for annual recertification training
are required to present proof of their current certification
and expiration, prior to being admitted to class.
Date
of class:

Date
of most recent Certification:
for the above class ( if applicable)

Classes
run from 9:00 am to 5:00 pm unless otherwise noted.
Company/Organization:

Address:

City:

State:

Zip:

Point
of Contact:

Phone:

Fax:

E-mail
Address:

Student
Names:

Fee
per registrant:

Total
number of registrants:

 
Total
Amount due:

PAYMENT:
Full Payment is due at time of course presentation. Certificates
of Completion will be held until payment is received.

We
accept the following payment methods:



Check



Money Order



Cash



Master Card



Visa



American Express

Please
indicate name and phone number to call to complete credit card
information:


Do NOT include the Credit Card Information, this form is NOT secure.

Make checks payable to "All American Environmental Services,
Inc."

Or
you may Print this form and mail to: All American Environmental
Services,7484 Candlewood Road, Suite E, Hanover, Maryland 21076.
Or fax to: 410-694-9474

Cancellation
Charge: If a cancellation notice is not received within
2 business days prior to the class date, a cancellation charge
equal to the tuition fee may be imposed.



Please check the box indicating that
you have read all of the above information.