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2013 CQMC Registration Form

 

Construction Quality Management for Contractors

             Registration Form for 4-5 March 2013

One Per Attendee, Please

 

Please deliver this form to: Stephen Ofori or  Amy Jo Riffee, US Army Corps of Engineers, 502 Eighth St. Huntington, WV 25701-2070

  E-mail:   stephen.d.ofori@usace.army.mil Tel # (304) 399-5629  or  Amy.J.Riffee@usace.army.mil Tel # (304) 399-5544 

 Office FAX # (304) 399-5109


From:_______________________________________________________________________________

 

Company Name:______________________________________________________________________________                                                           

 

Name of Course Attendee:____________________________________________________________________________                                               

 

Position of Course Attendee:____________________________________________________________________________                                          

 

Phone and Fax # of Course Attendee:____________________________________________________________________________                                   

 

E-mail address of Course Attendee:____________________________________________________________________________                                

 

Other Company point of contact - for admin purposes - non-student (if applicable)___________________________________________________________________________


Name of other Company Point of Contact:_____________________________________________________________________________                             

 

Phone # of other Company POC:_______________________________________________________________________________                                         

 

FAX # of other Company POC:_______________________________________________________________________________                                           

 

Comments, Questions, etc.:________________________________________________________________________________

 

Make check payable to: USACE – Huntington

Mailing Address:- Attention: Stephen Ofori EC-Q, 

US Army Corps of Engineers, Huntington District, 502 Eighth St.  Huntington, WV  25701-2070