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Everett Abrams

Information on April 3rd & 4th Boot Camps in Mt.Laurel, NJ

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REGISTRATION FORM

NEIGHBORHOOD

Kitchen Exhaust and Wood Boot Camps

April 3-4, 2004

8:00 am – 5:00 pm each day

* Comfort Inn & Suites * Mt. Laurel, NJ

6000 Crawford Place, Mt. Laurel, NJ 08054 * Phone: 856-727-0010

To register for the BooCamps, complete this form and return it to PWNA with the appropriate fees.

Company Name _________________________________________________________________

Address ________________________________________________________________________

City _________________________________________ State ________ Zip _________________

Phone _______________________________________ Fax ______________________________

Email _______________________________________ Web ______________________________

********************************************************************************

NOTE: Non-members can join and receive the Member rate – visit the PWNA website,

www.pwna.org.

WOOD Boot Camp FEES

MEMBERS – 1ST COMPANY REP

MEMBERS – ADD’L COMPANY REPS

(2-9; over 10 call for price)

NON-MEMBER – 1ST COMPANY REP

NON-MEMBER – ADD’L COMPANY REPS

Wood Boot Camp

$400.00

$320.00

$550.00

$470.00

Wood Certification Exam

$250.00

$250.00

$350.00

$350.00

Wood Study Manual(s) REQUIRED*

$45.00 plus $5.00 S/H

*Order Study Manuals online at

www.pwna.org

or call the PWNA office at 800-393-7962.

KITCHEN Boot Camp FEES

Price includes study materials AND certification test

Member AND Non-Member Price

$799.00

ATTENDEE NAMES FOR NAME BADGES (PLEASE PRINT). USE EXTRA SHEETS IF NECESSARY.

______________________________________________ ___________________________________________

______________________________________________ ___________________________________________

______________________________________________ ___________________________________________

TOTAL REGISTRATION and Book Order FEES $_______

PAYMENT METHOD (Please check one)

Company Check Check number _____________

American Express MasterCard Visa Discover

Credit Card Number ________________________________________

Expiration Date ____________________________________________

Name on Card _____________________________________________

Signature ____________________________________________

Return this form and registration fees to:

PWNA

6418 Grovedale Drive, Ste. 101B

Alexandria, VA 22310-2571

Phone: 800-393-7962 or 703-971-4011

Fax: 703-971-7772

Website:

www.pwna.org

TOTAL FEES:

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For anyone who has questions in regards to the Boot Camps please feel free to call me at 1-866-440-3325. If anyone is interested in future classes and dates, as well as requests, please call.

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