TRANSCAER^® Training Tours - Registration

Texas/Arkansas/Louisiana Tour - September 18 - 28, 2010

Please fill out the email form below for training tour registration. Early registration is encouraged as class sizes are limited.

Email Form Tour City Please Select One: NE Houston, TX - September 18 Lufkin, TX - September 20 Shreveport, LA - September 22 Texarkana, TX - September 25 N. Little Rock, AR - September 28 Are you registering as an individual or group?‡  Individual  Group(Please be sure to complete the Group Registration information below if available.) Individual or Point of Contact (for Group) Registration (your information): First Name‡ Last Name‡ Company‡ Telephone‡  (Include Country/Area Code) Title‡ Email‡ Confirm Email‡ Group Registration: How many in your group? (You may submit this information later if unavailable at this time. Send to fglcaer@dow.com) Please list first and last name and email address for each participant in your group. (Example: John Smith; jsmith@email.com) Level of Experience‡  General Awareness  Operations  Tech Specialist  Other Training Time Preference  Daytime hours  Evening hours (by appointment only) If you select Evening Hours, please specify time: Question or Comment Enter the code as it is shown (required):

^‡ Required Field

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