ACI CERTIFICATION REGISTRATION

American Concrete Institute Concrete Flatwork Finisher and Technician Certification Course

COST = $270.00 per participant for full examination and certification
$190.00 class and reference materials only
Optional: plus $50.00 for continuing education credits or professional contact hour credits (architects and engineers).
$20.00 late registration fee (within 2 weeks of the class)

Fargo, North Dakota
April 9 & 10 (Wed. & Thurs.)
Location:Skills & Technology Training Ctr.
1305 19th Ave N.

Name:

e-Mail:

Firm/Title:

Address:

City, State, Zip:

Phone # w/area code:

Additional Participants: Name

1:

2:

3:

4:

Each Participants Fee: $270.00 x =

Class & Ref. Material Only: $190.00 x =

Optional CEU's: $50.00 x =

late registration fee (within 2 weeks of the class): $20.00 x =

TOTAL: xxxxxxxxxxxxxxx

xxx

You will be billed for the above total or send payment to:
NDRM&CPA
P.O. Box 1076
Bismarck, ND 58502
FAX: 701-223-6719
Questions, Please contact:
Greg Johnson, P.E.
Midwest Testing Laboratory, Fargo
(701) 282-9633
E-mail:gregj@midwesttestinglabs.com
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Name:
e-Mail:
Firm/Title:
Address:
City, State, Zip:
Phone # w/area code:
Additional Participants:	Name
1:
2:
3:
4:
Each Participants Fee:	$270.00 x =
Class & Ref. Material Only:	$190.00 x =
Optional CEU's:	$50.00 x =
late registration fee (within 2 weeks of the class):	$20.00 x =
TOTAL:	xxxxxxxxxxxxxxx