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2012 FIELD SAMPLING & TESTING GRADE 1 REGISTRATION FORM

February 15 and 16 (Wed. & Thu.)
Great River Energy
1531 East Century Avenue
Bismarck, ND

February 20 and 21 (Mon. & Tue.)
location
to be announced
Dickinson, ND

March 21-22 (Wed. & Thu.)
Skills & Technology Training Ctr. 1305 19th Ave N
Fargo, ND

Online registrations now require pay by credit card.

Association Members & Government Agencies $255 Quantity:
Non-Members $310 Quantity:
Late Fee (5 or less Days prior to Class) $20 Quantity:

Please enter registrant name(s)
Whether attending Bismarck, Dickinson, or Fargo
and note whether Member, Gov. Ag., or Non-Member:

Questions: Contact Greg Johnson, P.E.
Midwest Testing Laboratory, Fargo
(701) 356-7622 cell: (701) 361-0201
Email: gregj@midwesttestinglabs.com