NY Metro ASHI

The Founding Chapter

                                                                         

 

 

Seminar Registration Confirmation


Dear First_Name MI Last_Name,

You have successfully registered for the 2017 Victor J. Faggella Memorial NY Metro Seminar!  The following is the information you entered:

First Name: First_Name
Middle Initial: MI
Last Name: Last_Name
Title: Title
Company: Company
Street: Street
Town: Town
State: State
Zip: zip
Telephone: Telephone
FAX: FAX
E-mail: Email
Member/Candidate #: Mem_Number
Days Attending: Days_Attending
Payment Method: Payment
ASHI Member: ASHI_Member
 
State License:
NY-NY_LIC  NY_LIC_NUM   CT-CT_LIC  CT_LIC_NUM
NJ-NJ_LIC  NJ_LIC_NUM     MA-MA_LIC  MA_LIC_NUM
 
Are you a Professional Engineer: PE

If any of this information is incorrect, please go back to the registration form and change it. 

PAY NOW with PayPal/Credit Card 

AFTER 9/1, PLEASE DO NOT MAIL YOUR PAYMENT - PLEASE USE PAYPAL or PAY AT THE DOOR.

Select the correct option for the Seminar and "Add to Cart".  A new PayPal window will open.  When the PayPal page opens, you can complete your transaction with PayPal or a Credit Card (Credit Card processing is at bottom of the right window).

NY Metro Seminar (NO TEST)
NY Metro Seminar (WITH TEST)

 

Please print this page for your records and include a copy when sending your check to:

Victor G. Faggella, P.E.
NY Metro Seminar
78 Pond Valley Road
Woodbury, CT 06798
 
AFTER 9/1, PLEASE DO NOT MAIL YOUR PAYMENT - PLEASE USE PAYPAL or PAY AT THE DOOR.

Sincerely,

The NY Metro Annual Seminar Committee


You may return to the registration form by using the Back button in your browser.
Revised: September 01, 2017 .

UPCOMING EVENTS

                               

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Copyright 2004 NY Metro Chapter
Last modified: September 01, 2017