California Compliance School

Registration & Payment

To register online, please fill out the form below and click "Submit." Online and credit card are not available at this time. A representative will contact you to confirm your registration and accept your payment.

Note: The February 22nd-24th course in Sacramento is now full. If you sign up you will be put on a waitlist. Thank you!

REGISTRATION FORM

Contact Name*
Company*
Address 1*	(Address to which you want the invoice mailed)
Address 2
City*
State*
Zip Code*
Phone*	ex. 1234567891
Extension
Fax
Email*
Course*
	Modules I-IV Modules I-V
Dates*
Exam*	Yes No
Participant 1*
Participant 2
Participant 3
Participant 4
Participant 5
Comments:

Scholarship Opportunity

Are you an agency, county, or state employee working in hazardous waste code enforcement with responsibility for oversight of the hazardous waste control laws? You may qualify for a state scholarship covering tuition for Modules I-V and the exam. For more information, please call us at (661) 336-5014 or (661) 336-5059.

Yes

PAYMENT METHOD**

Check

Purchase Order

Scholarship*** (if applicable)

California Compliance School will issue an invoice to the physical address you provided. Once you receive the invoice, please issue a check to California Compliance School and mail it to ATTN: California Compliance School, 2100 Chester Avenue, Bakersfield, CA 93301.

If you wish to submit a purchase order, you may fax it to (661) 395-4134.

To submit your registration, please enter the following code: 933011

* Required Field
** A representative will contact you to confirm your registration and complete payment process.
*** Those who are eligible for the scholarship are required to take all five modules AND the exam.

California Compliance School

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Registration & Payment