Control of Biohazards Course email biosafety@controlofbiohazards.com

Control of Biohazards Course

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Course Registration Form - April 16th through April 20th, 2012

  • PDF Course Registration Form
    Fill out, Print & Fax (410) 828-6331 or Snail Mail to BioControl, Inc.:

     

  • Please send remittance and completed registration by March 18, 2012 to:

    BioControl, Inc.
    8504 Southfields Circle
    Lutherville, MD 21093-3979
    United States of America

     
  • Name:_________________________________________________
     
  • Address:_______________________________________________
     
  • City:____________________ State:_____ Zip Code:__________
     
  • Country:______________________________
     
  • Telephone Number: _____________________________________
     
  • Fax Number:____________________________________________
     
  • Email Address: _________________________________________
     
  • Employer:______________________________________________
     
  • Job Title:______________________________________________
     
  • $2275 per person (unchanged for 4 years)-Number of persons: ___
    Make checks payable to: Biohazards Course.
    Course registration deadline is March 18, 2012.
     
  • A 90% refund will be issued for cancellations up to 14 business days before the course. A 50% refund will be issued for cancellations made less than 14 business days prior to the course. Notification of cancellation must be received in writing. Substitutes for registered attendees may be made at any time.
     
  • Payment will guarantee your enrollment in the course.
    We accept MasterCard, Visa, American Express or check.
    We issue receipts including credit card authorization numbers.
    BioControl, Inc. EIN is 52-1279079
    Credit cards are processed by Richard Gilpin Limited, a Maryland Corporation.
     
  • Master Card___    Visa___   AMEX___
     
  • Card #________________________________ Exp. Date________
     
  • Signature____________________________ Date___________

     
 
 For Further Information:
 
Dr. Byron S. Tepper
 Phone: (410) 828-6330
 Fax: (410) 828-6331
 email btepper1@verizon.net
          
 
 Dr. Richard W. Gilpin
 Phone: (410) 961-6638
 email: gilpin@legionella.com

  Revised:  1/3/2012
biosafety@controlofbiohazards.com
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