~~International Union of Operating Engineers,
Local No. 70
2722 County Road D East
White Bear Lake, MN  55110
(651) 646-4566   Fax (651) 646-2858

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TRAINING / EDUCATION PROGRAM
CLASS REGISTRATION FORM
Class is limited to 14 people
License presently held: _____What license do you expect to take after this class?
 Special _____Second class _____ First class ______Chief _____ 

30-Hour LOW Pressure Boiler Course
April 12th, 19th, 26th / May 3rd, and 10th, 2014
8:00 am to 2:00 pm
Please bring a calculator to class.
Books and materials will be provided.

Name:
__________________________________________________________________

Home Address, City, State, Zip

__________________________________________________________________

__________________________________________________________________

Home or Cell Phone ____________________  Job Site______________________

Work Phone___________________________

Tuition Amount Enclosed  $________________________

Please note: Local 70 will direct bill your employer if that option is available to you at your job site. You may have your employer contact our office at 651-646-4566 for further information, otherwise please submit your tuition with this Registration Form. Each course has a deadline for registration and cancellations or refunds will not be accepted after the registration deadline.

________________________________________  ____________________
Signature of Person Registering for Class                Date

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