MASONRY WORKSHOP

Registration & Payment Form
 
 

Contact Information:

Name
Company
Address
City, State & Zip ,
Phone
Attendee Email
Comments:

Please check which workshop you would like to attend:

October 14 - 15, 2011
Location: FC&PA Office, 6353 Lee Vista Blvd., Orlando, FL 32833

Cost:

First-time Certification - $449.00
In-class Re-certification (every four  years) - $349.00
By-mail Recertification (required every two years) - $199.00
$50 Discount for Early Sign-up (30 days prior to workshop)
$50 Discount for MAF & BOAF Members
(Must include chapter affiliation and/or license #)

Payment:

Pay by check  Make check payable to:  Masonry Education Foundation |398 Camino Gardens Blvd. Suite 108 | Boca Raton, FL 33432
Credit Card (Will not be charged until 7 days prior workshop)
   
Name
Billing Address

 
Billing City, ST, Zip

 ,             

Card #

 
CV Code:

 
Exp Date:
Fax Number:

 
If you need a receipt - you will need to enter a fax number.
Billing Email:

 

If you have billing question, please contact Sandy at 561-305-0892 or Sandy@floridamasonry.com