On-Line Registration for CAOHC Courses

  Personal Information                                                        * Indicates mandatory entry
* Last Name: * First Name:
Address: City: State:

Zip:

 * Phone: * E-Mail:
  Company Information
* Name: Phone:
Address: City: State:

Zip:

*  Course Selection
Course 1 Course 2
  Occupational Hearing Conservationist Certification

          March 29 - 31, 2017
          July 26 - 28, 2017
          November 15 - 17, 2017
          ----------------------------------------------------------------
                 Fee: $679.00                        (20 Hours)
  Occupational Hearing Conservationist Refresher

          March 31, 2017
          July 28, 2017
          November 17, 2017
          --------------------------------------------------------------
                 Fee: $464.00                        (8 hours)

Courses include: CAOHC 5th edition manual, writing materials, handouts, lunches, sodas, and coffee.

  

Limited Seating

(The Right To Cancel Courses For Insufficient Registration Is Reserved.)


Send check or money order to:
(No Credit Cards)
  Dr. Chris Pavlakos, Ph.D. and Associates
  910 Senate Drive
  P.O. Box 751203
  Dayton, OH 45475-1203

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