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TIA "TRUCK TIRE TRAINING TOUR"
REGISTRATION FORM


I. OTHER WAYS TO REGISTER
Mail
Tire Industry Association

1532 Pointer Ridge Place, Suite G
Bowie, MD 20716-1883.
Fax
301.430.7283
Phone
800.876.8372
301.430.7280

 
II. CONTACT INFORMATION
Company Contact:   
Company Name:   
Company Address:   
City:  State:      
Zip:   Country: 
 
 
If applicable, please enter International Postal Code into the Zip field above.
   
         
Phone:  Fax:   
E-mail:   
III. TRAINING DATES & CITIES
 
     
  Listed below are the dates and cities for TIAfs back-to-back, one-day Commercial Tire Service Technician Training and Certification seminars scheduled for Fall 2007. The first day's program is repeated on the second date listed for each location.  
         
 
OCT. 2 & 3, 2007
Greensboro, N. Carolina
Holiday Inn
Greensboro Airport

OCT. 16 & 17, 2007

Orlando, Florida
Hampton Inn
International Airport
NOV. 13 & 14, 2007
Columbus, Ohio
Holiday Inn Hotel & Suites

NOV. 27 & 28, 2007
Hartford, Connecticut
Hampton Inn
Hartford Airport
DECEMBER 4 & 5, 2007
Chicago, Illinois
Hampton Inn - O'hare

DECEMBER 6 & 7, 2007

Kansas City, Missouri
Airport - Hampton Inn
 
 
 
 
IV. TOUR DATE SELECTION
 
Training Day 1
(fill in date here)
Please register
technician(s) for training and TIA CTS Manual(s)*

@ $300 each
(incl. lunch)

=
Please register
technician(s) for training who already have TIA CTS Manual(s)* @ $200 each
(incl. lunch)
=
           
Training Day 2
(fill in date here)
  technician(s) for training and TIA CTS Manual(s)*

@ $300 each
(incl. lunch)

=
  technician(s) for training who already have TIA CTS Manual(s)* @ $200 each
(incl. lunch)
=
     
    *CTS Manual required for exam.    
TOTAL AMOUNT DUE
=
 


IV. METHOD OF PAYMENT
 
Payment :  
PO Number:  
Card Type:
   
Expiration: 
 
Card Number:   
Name On Card:   
Amount: