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COURSE: Safety and Health in Mechanical Shops, Garages,
Tyre Shops and Workshops
DATE: Tuesday
September 20th, 2011
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* First name:
* Last name:
Organization :
Address:
Relevant Experience:
DO NOT enter any any spaces or special characters for telephone numbers
Telephone (home):
*
Telephone (mobile):
Telephone (office):
Fax :
* Email:
* (Required Fields)
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Please state your preference:
Vegetarian
Non-Vegetarian
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IMPORTANT: Please complete this section
How did you hear about this course?
(please select one or more)
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No Credit Cards or Personal Cheques accepted
Payment can be made by Cash, LINX, Certified Cheques or Company Cheques
Please make all cheques payable to Engineering Institute
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