USA DECON
Crime & Trauma Scene Decontamintion Course
Attendee Registration Form
(please return a form for each company member attending)
Please return completed form to usadecon@aol.com or fax 281-412-3496
Feel free to contact Robert with any questions at 713-850-0555
Attendee Information:
Name:
Company:
Telephone: Email:
Alternate Contact (Supervisor): Email:
Booking Your Hotel Room:
Please Contact The Best Western @ 1855 N. Main Street Pearland, Texas 77581 to make your hotel reservations: 281-997-2000 / 1-888-736-2003 or
Holiday Inn Express @ 1702 N. Main Street Pearland, Texas 77581 1-888-897-0088
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When Will You Be Arriving In Houston?
Date: Time:
When Will You Be Departing Houston?
Date: Time:
Method of Payment (please circle)
VISA MasterCard
American Express Discover Check
Credit Card Number:
Expiration Date: ___ Name as it appears on card:
Payment for classes must be received two (2) weeks prior to participation. Please make checks payable to USA Decon. A receipt is available upon request. Please allow four (4) weeks for receipt to be mailed. Please mail check to the following address:
USA Decon
