2986 Industrial Blvd. , Bethel Park, PA 15102  Phone: (412) 835-9555  Fax: (412) 835-9559

E-Mail address: AHP.INC@COMCAST.NET - Web Page Address: WWW.APPLIEDHEALTHPHYSICS.COM

 

OCTOBER 28 - 30, 2008

  Radiation Safety Officer - Twenty Four (24)  Hours 

      Regular Fee $795.00               Early Bird Fee $745.00 - due by October 10, 2008

  Team Discount 5 % off  2 or More Registrations

      Students @ $755.25/ea    Students @ $707.75/ea Early Bird by October 10, 2008

  Radiation Safety Officer Refresher - Eight (8) Hours

OCTOBER 20, 2008

# attending - Cost $275.00/each

PAYMENT INFORMATION - Payment must be received  before the first day of class.

  Purchase order number:

  Visa or Master Card number:

   Name on the Card:    Expiration date :                 

  Name:       
  Company: 
  Address :  
  City:          
  State:            Zip code:

 Billing Address:

                             

 Phone Number: 

  Email:               

  Isotopes used:  

 Your name the way it should appear on certificate:
 

Refunds will be issued for all cancellations except those made within 5 business days of the course, for which a 50% refund will be given.  "No Shows" are subject to the full fee.  Substitutions may be made at anytime prior to class.

 

 Print to fax or mail