SouthWest Electrical Training Center

Fall 2006 Safety Training Registration Form

Electrical Safety Training Program

Program price: $75.00

_____  Session 1        08/17/06 and 08/24/06: Two class periods on Thursdays from 5:30 pm to 8:30 pm

_____  Session 2        09/07/06 and 09/14/06: Two class periods on Thursdays from 5:30 pm to 8:30 pm

Location: The SouthWest Electrical Training Center is located at 1717 E Van Buren Street, Phoenix, AZ 85006-3799. There is a gated parking area for student usage.

Registration Information—PLEASE PRINT

Student Name: ______________________________________________________________________

Student Address: ____________________________________________________________________

City, Zip Code, Phone: _______________________________________________________________

Company: _________________________________________________________________________

Contact Person: _____________________________________________________________________

Company Address: __________________________________________________________________

City, Zip Code: _____________________________________________________________________

Company Phone, Fax, and E-mail: ______________________________________________________

Be sure to check out the other courses and programs offered this fall & winter:
 

Residential Electrical Program        Essentials of Leadership Program, Part 1
Commercial Electrical Program       Essentials of Leadership program, Part 2
Industrial Electrical Program           Electrical Safety Training Program

Mail registration form and payment for selected program to:

SouthWest Electrical Training Center

P.O. Box 62902

Phoenix, AZ  85082-2902