Note: All fields are required. PLEASE CHECK EACH NUMBERED SECTION CAREFULLY

1. Training Dates

2. The cost to attend this training is $359 per person. We will be paying by:

Credit Card                 Check


3. Last Name4. First Name5. Middle Initial
6. Email Address7. Contact Phone Number
  
8. Company Name9. Company Address
10. Company City11. Company State12. Company Zip Code
  
13. Government Employee      or     Contractor
  
14. Supervisor's Name15. Supervisor's Email16. Supervisor's Phone
  
17. Your Status 18. Check to confirm that each student must bring the following items to the class:
CQC or All CQC MGR Contractor
Project Superintendent/Contractor
Government Construction Manager
Other
 Check:
1. Copy of Project CQC Plan [Very recent project]
2. Copy of Project Rework List
3. Copy of Daily Production Report
4. Copy of Daily CQC Report (5 days)
5. Copy of Submittal Register
19. Name of PWD/ROICC Office You Are Working Through
20. Contract Number You are Working Under (enter only one)
        "If NONE enter NONE"
Privacy Advisory: Information collected from this form will be used solely for the purpose of enrollment into the selected course. Personal information will be destroyed after you have completed the training.

PLEASE READ

The cost to attend this training is $359 per person.
Payment (check or credit card) MUST be submitted upon confirmation of enrollment status. If paying by check, please make check payable to AGC San Diego and mail to 6212 Ferris Square, San Diego, CA 92121. If paying by credit card, please fill out the credit card form here and submit by Fax to (858) 558-8444. Credit card payments may also be made over the phone by calling Inna in the Accounting Dept. at (858) 558-7444 ext. 109 .

Note: Printing the credit form does not complete this form processing but it does call to mind at form processing completion that this form must be printed and filled out to completion to pay by credit card. Click the SUBMISSION button below and please continue.

Please direct ALL questions to Glen Schaffer, AGC Director of Education by phone at (858) 731-8151 or by email: gschaffer@agcsd.org .

Attendance Confirmation will be emailed at least 10 days prior to the training date.

Payments and Cancellations: Payment MUST be received no less than 7 days prior to class start date.

Cancellations: Substitute registrants can be named at any time. A full refund will be given if notification is given 72 hours in advance. If you do not cancel within the 72 hour policy timeframe or elect not to attend, you are responsible for the entire payment.



Current Time : September 2, 2010
Your IP: 38.107.191.83

Last Updated: Monday, August 23, 2010 9:26:39 PM