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STUDENT REGISTRATION FORM
2008 COLORADO FIRE MECHANICS ACADEMY

This online application will not be processed unless it is completed in full and payment is made. Once you have completed and submitted the form, you will be taken to an online payment form. Tuition is $450.00 for non-members and $400.00 for members, per week or $100 per day. Add $100 for late fees after June 30th. All training hand-outs are included.
Last Name First Name M.I.
Home Address
House Number and Street
City State Zip
Home Phone
000-000-0000
Work Phone
000-000-0000
Fax
000-000-0000
Dept. / Agency
CFMA Member? Yes    No
Email
FILL IN CLASS SELECTIONS FOR EACH DAY BELOW
CAREFULLY CHECK CLASS SCHEDULES FOR DAYS CLASSES ARE OFFERED!
Please include second and third choices.
Choice Monday Tuesday Wednesday Thursday Friday
1st Choice
2nd Choice
3rd Choice
I would like a Pre-Test for Electrical Class CFM215A Yes    No
CLASS CONFIRMATIONS WILL BE MAILED AFTER JULY 10TH


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