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In order to register, you must print this form to mail or register by phone. It is NOT possible to register by computer at this time. ESC Region VII Service Area Math-Science Coop Teachers should contact their representative to register.REGISTRATION Tuition/Fee: $69.00 Course Title: "Laboratory Safety and Hazardous Waste Recovery" August 4, 2006 Section No.: SCIT2014 408054Q SS# ___________________________ NAME __________________________________ Address ___________________________________ ___________________________________ Home Phone______________________________ Business Phone __________________________ E-mail/FAX ____________________/__________________ If registering by phone:(903) 510-2900, VISA, MasterCard, or Discover required. Please complete the form above and pay with check or money order if registering by mail. Send Form to: RTDC 1530 ssw Loop 323 Tyler, TX 75701 |