IAC Training: Trucker Class Registration

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   IAC Training
   All Rights Reserved

Trucker Class Registration
Tuition costs are listed below.

Please provide the following registration information:

* indicates required field

Trucker/Contractor/Vendor
*Student's Name (First, Last)
*Class Date & Confirm the Location
*Company Name
*Street address
Address (cont.)
*City
*State/Province
*Zip/Postal code
*Country
* Phone
FAX
E-mail
URL

Sponsoring IAC
*IAC Contact Name (First, Last)
*IAC TSA/FAA Approval Number
*IAC Company Name
*IAC Street address
IAC Address (cont.)
*IAC City
*IAC State/Province
* IAC Zip/Postal code
*IAC Country
*IAC Phone
IAC FAX
IAC E-mail
IAC URL
Payment may be made by sending a check or by American Express
Payment Type:	I'll send a check American Express Card
Card Number:
Card Expiration:	(mm/yy)
Cardholder Name as appears on card.
Comments

You may also print out this form, complete,and then mail Registration and Check to:

IAC Training, Inc.
18321 S. Western Avenue, Suite F
Gardena, CA 90248

Telephone: (310) 630-0174
FAX: (310) 630-0170
Toll Free: (877) 877-2419

Checks must be received at least five days prior to scheduled class date.
All paid classes may be rescheduled at the student's convenience.

Tuition

Tuition Per Student

$399.00

We require eleven pre-paid students in order to conduct a class.

Contact us at 310-630-0174 to arrange a class at your location

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