TRAINING COURSE ONLINE REGISTRATION FORM

1. Submit your order -- using this form -- with your credit card information;

2. Print out this form and:

  • Mail with payment to: Fire Department Training Network, P.O. Box 1852, Indianapolis, IN 46206; or
  • Fax to: 317-862-9685
  • Online, Mail and Fax registrations accepted up to 15 days prior to the start of the course date.
 
FDTN CANCELLATION POLICY
 
Cancellations must be made in writing and sent to FDTN, P.O. Box 1852, Indianapolis, IN 46206. In the event of cancellation the Course Registration Fee will be refunded (less 20% administrative fee) if written notice is received by FDTN at least 15 days prior to the start of the course. Registration fees for cancellation made within 15 days of the course are non-refundable. Name changes are permitted with no charge.
 
** Required Fields

JOIN THE NETWORK
 
 Individual $48/year  Department  $240/year  Corporate $500/year
**Course:
**Name:
Title:
**Department:
**Address:
**City:
**State:
**Zip:
**Phone:
Fax:
**Email:


PAYMENT

 **MC/VISA AMEX Department PO

** Card/PO #:

** Expiration/PO Issue Date:


 

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