Environmental Technology Corporation

Occupational Hearing Conservation Course Sign-up
Please fill in the information below,
then print this page and either mail it to the address shown or fax it to 770-442-0980.

 

Course Information

$590

Three-Day Course

 

 

 

$340

One-Day Course

 

 

 

$10

CEU (Optional)

 

$                    Total

 

Course Date(s):

 

Contact Information

Name:

      

Address:

Company:

 

Address Line 2:

City:

 

State:

Zip:

 

Audiometer Type:

Phone:

 

Fax:

 

Accommodations

Single
Double

      

Arrival Date:

Departure Date:

 

Credit Card Information

Type:

      

Number:

Name:

 

Exp. Date:

 

Send registration form and check made payable to ETC for Tuition, CAOHC, and CE Charges to:

LOCATIONS

Course Registration
Environmental Technology Corp.
P.O. Box 1027
Roswell GA 30077

770-475-2055 102
FAX: 770-442-0980
Email: rhurd@etc-hearing.com

 

Atlanta Courses

Embassy Suites

5955 North Point Pkwy.

Alpharetta, GA 30022

678-566-8800

 

Email  rhurd@etc-hearing.com with questions.