DATE: Tuesday, June 10, 2003
TIME: 8am - 4 pm Registration begins at 8 am. Please be on time or early!!!
LOCATION: Gilbertsville Fire Company No. 1, Gilbertsville, Montgomery County, PA
CLASS SIZE: Limited to 100 participants
REGISTRATION DEADLINE: MAY 29, 2003
FEES: EPWPCOA members - $125 CPWQA Members - $145 All Others - $160
PAYMENTS: Payment will be accepted in cash or check, NO PURCHASE ORDERS.
The registration fee will include coffee and donuts, lunch, class materials, classroom instruction, and attendance certificate
Bob Norcross is a program manager and instructor for the Environmental Institute at Delaware Technical and Community College in Georgetown, Delaware. For the past 21 years, he has taught Refrigeration and Maintenance Technology at DelTech. Mr. Norcross provides instruction in the areas of electrical / mechanical, industrial ammonia refrigeration, and industrial maintenance.
This one-day session will include lecture, demonstration, and hands-on student participation in trouble-shooting control circuits and electrical components. Each student will receive a copy of Electrical Troubleshooting, valued at $27 and included in the registration fee.
This training course is co-sponsored by Delaware Technical & Community College, Environmental Institute - Jerry Williams, Department Chair, and the E.P.W.P.C.O.A., Inc., Education and Training Committee - Maria R. Fricker, chair
Certificate of attendance will be issued to participants who meet attendance time requirements. THESE CERTIFICATES MAY NOT HAVE ANY PA-DEP training value. Pa-DEP training credits will be transmitted to the DEP in the format required. DEP will keep training records of all certified operators. Individuals in training to become certified operators will have their attendance recorded and maintain by the Association.
A PA-DEP "CLIENT IDENTIFYING NUMBER" [CID] is required for training credit certification by the Association to PA-DEP. If you are certified, the C.I.D. is shown on your license (certificate).
Training location maps and directions will be included in the registration verification mailing.
PA-DEP Training Course Approval #506
This training course will have 5.0 contact hours of PA-DEP credits available to qualifying registrants.
To qualify for the credit(s) each applicant that desires the credit MUST:
All registrants will be notified via U.S. Mail of the acceptance or rejection of their registration approximately 10 days prior to the training being offered. Registration must be received by Thursday, May 20, 2003 to allow for ample preparation and to enable the course to operate on schedule.
Mail registration forms accompanied by checks payable to the EPWPCOA, Inc. to
E.P.W.P.C.O.A., Inc.
attn: Ed Treat, Executive Secretary
125 West Maple Avenue
Myerstown, PA 17067-1232
It is strongly recommended that checks for this registration be drawn separate for the training being offered and not co-mingled with other event checks. The checks will be held until the registration verification / rejection letters are mailed.
Registration substitution will be accepted until the start of the training session. A fee of $15 is required and must be accompany a completed registration form and certification license copy, if applicable.
EPWPCOA Nondiscrimination and Presentation Liability Policies are in force for this training. A copy may be obtained by sending a request and S.A.S.E. to the registration address.
Electrical Troubleshooting - One day training
Last name __________________ First name _____________________ M.I.__________________
C.I.D.# ____________________ Employer _____________________________________________
Job / Position Title _____________________________________________________________________
Address - Street, Avenue, P.O. Box _______________________________________________________
City ______________________________________ State ___________________ Zip+4 ____________
[ ] Check here if employer's name is to be shown in your address - for registration verification
Course Location Gilbertsville, PA, June 10, 2003
Fee Selection: Check fee that matches your membership situation Membership will be verified.
[ ] EPWPCOA member ....................................................$125
[ ] CPWQA member ........................................................$145
[ ] All non-members .........................................................$160
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Registrant's Signature (above)
DO NOT MARK BELOW THIS, FOR ASSOCIATION ONLY
| DATE | Check Number | Amount |
| Bank Number | Computer Record | |
| Certificate | Licensed Supplied | |
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