I-TECC REGISTRATION FORM

Name

First NameLast Name

Company Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

I-TECC Level I - Lyons, OR

August 4-5, 2026

$450.00 Quantity

I-TECC Level I - Lyons, OR

September 29-30, 2026

$450.00 Quantity

I-TECC Level II - Lyons, OR

October 1-2, 2026

(Prerequisite - Level I)

$500.00 Quantity

I-TECC Level III - Butte, MT

July 7-8, 2026

(Prerequisite - Level II)

$750.00 Quantity

I-TECC Level III - Lyons, OR

October 21-22, 2026

(Prerequisite - Level II)

$750.00 Quantity

Heavy Duty Level 1 - Mitchell, SD

June 23-25, 2026

$850.00

Enter coupon

Total

Student Name #1

First NameLast Name

Student Name #2

First NameLast Name

Student Name #3

First NameLast Name

Student Name #4

First NameLast Name

Student Name #5

First NameLast Name

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