On-Line Registration for CAOHC Courses

  Personal Information                                                        * Indicates mandatory entry
* Last Name: * First Name:
Address: City: State:

Zip:

 * Phone: * E-Mail:
  Company Information
* Name: Phone:
Address: City: State:

Zip:

*  Course Selection
Course 1 Course 2
  Occupational Hearing Conservationist Certification

          March 10, 2010 - March 12, 2010
          July 28, 2010 - July 30, 2010
          November 17, 2010 - November 19, 2010
          ----------------------------------------------------------------
                 Fee: $599.00                        (20 Hours)
  Occupational Hearing Conservationist Refresher

          March 12, 2010
          July 30, 2010
          November 19, 2010
          --------------------------------------------------------------
                 Fee: $399.00                        (8 hours)

Courses include: CAOHC 4th edition manual, writing materials, handouts, lunches, sodas, and coffee.

  

Limited Seating

(The Right To Cancel Courses For Insufficient Registration Is Reserved.)


Send check or money order to:   Dr. Chris Pavlakos, Ph.D. and Associates Inc.
  910 Senate Drive
  P.O. Box 751203
  Dayton, OH 45475-1203

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