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Breath Alcohol Testing Class Registration

Intoxilyzer 5000 Basic Training

  Student's Last Name:

Student's First Name:

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Class Date:
12/14/09 01/04/10 01/11/10 01/25/10 02/01/10 02/08/10 02/15/10 02/22/10 03/01/10 03/08/10 03/15/10 03/22/10 04/05/10 04/19/10 05/03/10 05/10/10 06/07/10 06/14/10 06/21/10
Alternate Date:
12/14/09 01/04/10 01/11/10 01/25/10 02/01/10 02/08/10 02/15/10 02/22/10 03/01/10 03/08/10 03/15/10 03/22/10 04/05/10 04/19/10 05/03/10 05/10/10 06/07/10 06/14/10 06/21/10
Register for first available class if selected classes are unavailable.
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Class openings will be granted based on availability. You should receive notification of your enrollment status within the next 10 business days, but notifications may require up to 30 days in some cases.  If you do not receive a notification that you have been accepted into a class then you do not have a spot in that class.  We do not accept walk-ins.  If you do not receive a notification of your enrollment status within 30 days of submission, please contact us.