“Commitment to Excellence”

Spring 2008 Training Registration Form

Please Print Clearly

Registration Fee $125.00 per person

--One registration form per person--

Name. ___________________________________________________________________________

Address ___________________________________________________________________________

City _____________________________ State ___________________ Zip _________________

Employer ___________________________________________________________________________

Day Phone ______________________________ Fax No. _____________________________________

E-Mail ____________________________________________________________________________

Training Schedule—Check courses for each day that you would like to enroll in:

May 6^th ___ Hale Pumps ___ Bendix Air Brakes ___ Medtec Electrical

May 7^th ___ Hale Pumps ___ Foam Pro Systems ___ Allison Transmission

or May 7^th ___ Ambulance Maintenance ___ Specification Writing

May 8^th (AM) ___ Police Equip. Installation ___ Shop Equip. Demo & Training

May 8^th (PM) Will you be taking an EVT Test? ___ Yes ___ No

CONFERENCE REGISTRATION

You will be notified if a course you select is full in order for you to make another choice. The Conference Committee will do everything possible to fulfill your request. Some class sizes may be limited. Classes that do not meet the minimum number of enrollees may be cancelled. Please REGISTER EARLY.

EVT TESTING

Testing will be conducted on Thursday May 8^th from 1:00 to 5:00pm. Test site number for this training’s group of special testing sessions is #50808. To take an EVTCC test you must be pre-registered 21 days in advance per EVTCC policy. Please visit www.evtcc.org for registration forms and procedures.

PAYMENT

Please make check payable to Heartland Emergency Apparatus Technicians (HEAT) Association.

Mail check and registration form to Phil Nelson, HEAT Treasurer, 1021 Stillwell, Wichita Kansas 67213.

Credit card payment can be made by calling Boyd Powers, HEAT President, at 316-660-7494. If credit card payment is made, fax registration form to Boyd Powers at (316) 383-7129.