ACOFAS TECHNICIAN TRAINING CLINIC REGISTRATION FORM

“PROPER ALIGNMENT PROCEDURES”

AUGUST 20 & 21, 2019
Presented by BeeLine Company
Hosted by Lafayette Spring Company, Inc.

Scott, Louisiana

___________________________________________________

Technician(s) name:
1.__________________________________________________
2.__________________________________________________

Technician(s) e-mail:
1.  _________________________________________________
2.  _________________________________________________

Technician(s) cell phone:
1.  _________________________________________________
2.  _________________________________________________

Company name:  _______________________________________

Company address:  _____________________________________
___________________________________________________

Owner -or-ACOFAS Member
Name:  ____________________________________

Cost of Attendance:

ACOFAS members: $200
SSA, Power Heavy Duty, TARA members: $350
All others: $400

Please download and submit this form with your check made payable
to: ACOFAS. (Mailing Address: 1035 Blackburn Circle, Libertyville, IL
60048)

For more information contact Gordon Botts ,  gbotts@acofas.org or 815-482-4255

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