PRINT OUT THIS FORM OR DOWNLOAD THE ADOBE ACROBATE FILE. COMPLETE THE FORM AND SEND BY EITHER U.S. MAIL OR FAX. THIS FORM CANNOT BE COMPLETED ON-LINE.
Questions? Call 310-838-6247 or E-mail at: info@StewartEducationServices.com
Attendee’s NAME ________________________________
ADDRESS___________________________________________
CITY_______________________STATE_____ZIP__________
PHONE__________________ FAX _____________________
EMAIL _____________________________________________
Organization Information
If multiple people from the same company are attending, attach a list of their names with address, phone, fax, and email.
COMPANY _________________________________________
COMPANY ADDRESS_______________________________
CITY_______________________STATE_____ZIP__________
PHONE__________________ FAX _____________________
EMAIL _____________________________________________
WEB ADDRESS _____________________________________
2— COURSE & DATE SELECTION
COURSE
Check off the course(s) you want to attend.
All Lead Hazard courses are 7 hours in length.
All Mold Hazard courses are 2 hours in length.
| | Lead Hazard in Residential Real Estate—Owner/Manager/Supervisor Course (CEU available) (English only) |
| | Lead Hazard in Residential Real Estate—Worker Course—English |
| | Lead Hazard in Residential Real Estate—Worker Course—Spanish |
| | Lead Hazard in Residential Real Estate—Worker Course—Chinese (Contonese or Mandarin available) |
| | Mold Hazard in Residential Real Estate—English (CEU available) |
| | Mold Hazard in Residential Real Estate—Spanish (CEU available) |
| | Mold Hazard in Residential Real Estate—Chinese (CEU available) (Cantonese or Mandarin available) |
DATES
List some TENTATIVE DATES your would like for us to come to your site. We will finalize the dates and location through negotiation with your company.
____________________________________________________________________________
Choose category and calculate total.
| LEAD HAZARD ONLY | |||
| Rate Category |
Rate
|
# of people
|
Total
|
| • Small Group — minimum 4 people, and up to 7 (a $48 savings per person over our regular rate) |
$101 ea
|
____
|
____
|
| • Large Group — minimum 8 people, and up to 19 (a $55 savings per person over our regular rate) |
$ 94 ea
|
____
|
____
|
| • Company Group — over 20 people (a $62 savings per person over our regular rate) |
$ 87 ea
|
____
|
____
|
|
Sub-Total
|
____
|
| MOLD HAZARD ONLY | |||
| Rate Category |
Rate
|
# of people
|
Total
|
| • Small Group — minimum 4 people, and up to 7 (a $19 savings per person over our regular rate) |
$ 40 ea
|
____
|
____
|
| • Large Group — minimum 8 people, and up to 19 (a $22 savings per person over our regular rate) |
$ 37 ea
|
____
|
____
|
| • Company Group — over 20 people (a $24 savings per person over our regular rate) |
$ 35 ea
|
____
|
____
|
|
Sub-Total
|
____
|
| LEAD & MOLD HAZARD taken same day (an additional 15% savings) |
|||
| Rate Category |
Rate
|
# of people
|
Total
|
| • Company Group — over 20 people (a $58 savings per person over our regular rate) |
$119 ea
|
____
|
____
|
| • Company Group — over 20 people (a $66 savings per person over our regular rate) |
$111 ea
|
____
|
____
|
| • Company Group — over 20 people (a $74 savings per person over our regular rate) |
$103 ea
|
____
|
____
|
|
Sub-Total
|
____
|
| CEU (check off only if you desire CEU certification) |
|||
| Rate Category |
Rate
|
# of people
|
Total
|
| LEAD HAZARD |
$15 ea
|
____
|
____
|
| MOLD HAZARD |
$ 5 ea
|
____
|
____
|
|
Sub-Total
|
____
|
Write a CHECK in the amount of $ ______ made payable to: Stewart Education Services
Sorry, no credit cards.
5— MAIL REGISTRATION & PAYMENT
Stewart Education Services
3722 Bagley Ave. #19
Los Angeles, CA 90034-4113
| Home | Founder's Message | Spanish | Chinese | Courses | Schedule | Registration On-Site Training | Services | Library | Contact | Vendor | Staff | Sign-In Stewart Education Services • 3722 Bagley Ave. #19, Los Angeles, CA 90034-4113 |