Time: 0830 -1700 hours
Location: Susquehanna Valley EMS
610 South Poplar Street
Columbia, Pa. 17512
Cost: $495 for first instructor; $295 for 2nd and 3rd instructor from same organization
Course Materials: Instructor manual will be provided.
Participants must bring proof of a valid driver’s license to drive on competency course.
Lunch is on your own. Complete registration form and return to ICATS. For more information contact ICATS 717-304- 4418.
Registration Form
PRE-REGISTRATION IS REQUIRED
Please mail the completed registration form and include full payment to:
ICATS
P.O. Box 482
Estero, FL 33928
717-304-4418
www.icats.net
Susquehanna Valley EMS – EVOC Train-the-Trainer
July 6 & 7, 2007
Deadline for Registration is 10 days prior to the date of the class. If you are within the 10 day period, contact ICATS for availability. Lunch is on your own.
Last Name First Name Middle Initial Title
Organization Daytime phone Evening phone e-mail
Street mailing address City State Zip County
PROGRAM REQUEST: Cancellation/rescheduling fee is 10% of registration fee per
person. Course fees are non-refundable with less than 14 days notice prior to
the course. Attendee substitution is acceptable.
FORM OF PAYMENT:
____ Enclosed is check made payable to: ICATS
____ Enclosed is Purchase Order # ___________ made payable to: ICATS.
(Do not send PO separately, this will cause duplicate registration)