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Factory Training — Registration

Course Basic Electrical Controls
Cost $3,000.00
Preferred Date(s)
Alternative Date(s)
Anticipated Date of Arrival
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Address
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US Citizen Yes No
Employer
Email
Daytime Phone Preferred
Evening Phone Preferred

Billing Information


Company Name
Purchase Order Number
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Local Motels (Corporate and Government Rates Available Upon Request)

Holiday Inn Express — 2790 Milwaukee Road; Beloit, WI; (608) 365-6000
Super 8 Motel — 3002 Milwaukee Road; Beloit, WI; (608) 365-8680
Comfort Inn — 2786 Milwaukee Road; Beloit, WI; (608) 362-2666
Econo Lodge — 2956 Milwaukee Road; Beloit, WI; (608) 365-4000
Fairfield Inn — 2784 Milwaukee Road; Beloit, WI; (608) 365-2200

I agree to the following conditions

A.  Travel and living expenses are the responsibility of the applicant.
B.  Class hours are 8:00am to 4:00pm (class will be dismissed at noon on the last Friday to allow
Students to depart in time for travel connections)
C.  Local rental cars are available through “Enterprise Rent-A-Car”; 608-363-0055.
D.  Cancellations must be made two weeks prior to the first day of class. No refunds are granted after this time. A substitute may be sent in place of the individual registered. Also, the applicant should check two weeks prior to the start of class to verify that the class will be held.*
E.  Van Galder Bus Company has daily service from Chicago O'Hare to the Ramada Inn in South Beloit, IL. For more bus information, call 1-800-747-0994.

*FAIRBANKS RESERVES THE RIGHT TO RESCHEDULE CLASS.
*Minimum Class size 6
*Maximum Class size 10