30 Hour General Industry Registration Form

Registration

30- Hour General Industry Awareness Course

September 22 - 25, 2008

Please select the desired course you wish to attend:

I would like to attend the 10-Hour Workshop held September 22-23, 2008
I would like to attend the 30-Hour Workshop held September 22-25, 2008

Note: You will only be given a certificate for one of the courses.

Name: (To appear on your certificate.)

Title:

Company Name:

Address:

City: State:     ZIP:

N.C. County:

Phone Number:

E-mail Address:

You will be required to have the North Carolina Occupational Safety and Health Standards for the General Industry, 29 CFR 1910, (With amendments through February 1, 2008).

Please select one of the following:
I already have the current standard.
I will order the current standard online at www.nclabor.com or by phone (919) 807-2875 at least 30 days prior to the beginning of the course.

Note: The cost for the book is $27.00.

For more information contact Nancy Gregory at: (919) 807-2875.

Please make sure you have selected a course before you submit this form.

1101 Mail Service Center • Raleigh, N.C. 27699-1101 • (919) 807-2796 or 800-NCLABOR