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									                 ENERGY STAR Homes Northwest


Performance Testing Comfort System Duct Testing Training
Location: WSU Extension Energy
222 N Havana Street                         Rooms ‘B & C’                                  Spokane, WA 99202
February 22, 23, & 24, 2011                                                     Registration Fee: $400.00
Contact: Marla Hacklander 1 509 477 6703                                                Training hours: 8:00 AM – 5:00 PM
Please include all contact / address information.
Name: _____________________________________________________________________________________________
Title: ______________________________________________________________________________________________
Company: __________________________________________________________________________________________
Address: ___________________________________________________________________________________________
City: ______________________________________________________ State: ___________ Zip: ___________________
Phone: ____________________________________________________ Fax: ____________________________________
E-Mail: ____________________________________________________________________________________________
Training hours: 8:00 – 5:00.

Registration Fee: $400.00
Payment may be made with check, MasterCard, Visa, or purchase order, in U.S. funds.
Checks should be made Payable to:                 Washington State University.
                    Credit card payments MUST be faxed or emailed to:
                    Tamara Parrish email: parrisht@energy.wsu.edu
WSU Extension Energy Program   Fax: 360-956-2161
P.O. Box 43165                                                                               Office use only:
Olympia, WA 98504-3165                                                                       Charge code: 1237

Mark Payment Type
    Check/Purchase Order# ___________________________________________________________________
      Visa/Master Card # ______________________________________________________________________
            Exp. Date _______________________________________________ CVV # *_______________________
     *3 digit number on the signature panel on the back of the card, immediately after the account number

Complete below if paying with Visa/Master Card
___________________________________ __________________________________
Print Name
___________________________________ ___________________________________
Signature


                                                 Marla Hacklander
                                          WSU Extension Energy Program
                                    Phone 509 477 6703       Fax 509 477 6709
                                           hacklanderm@energy.wsu.edu

								
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