INSTRUCTOR REGISTRATION FORM

INSTRUCTOR REGISTRATION FORM

2022 BASIC SWAT
Attendee's Name: *

First Name Last Name
Attendee's Agency: *
Attendee's E-mail *
Attendee's Phone Number *
Attendee's T-Shirt Size *
Please list dietary restrictions:
Do you need an invoice?

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Do you need a W9?

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Pay By: *

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INSTRUCTOR Registration Fee: $100
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INSTRUCTOR REGISTRATION $ 100.00

Total $ 0.00
Make checks payable to OTOA.

Mail to:

OTOA

C/O Erick Hernandez

333 Division St NE

Salem, OR 97301
Should be Empty: