HTCIA Cell Phone Class
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1. Default Section
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1
. Are you attending the morning Session (8AM - 12PM) or the afternoon session (12:30PM-4:30PM)?
Are you attending the morning Session (8AM - 12PM) or the afternoon session (12:30PM-4:30PM)?
Morning (8AM-12PM)
Afternoon (12:30PM-4:30PM)
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2
. Are you an HTCIA Member?
Are you an HTCIA Member?
Yes
No
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3
. Name (As you want it on Class Certificate)
Name (As you want it on Class Certificate)
4
. Rank or Title
Rank or Title
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5
. Agency or Company
Agency or Company
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6
. Address
Address
Street
City
State
Zip
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7
. Email Address
Email Address
8
. Contact Phone Number
Contact Phone Number
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