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Registration Form

All courses open to everyone

Print this form, complete and return to:
Rutgers University, Dept. of Environmental Sciences
14 College Farm Road, New Brunswick, NJ 08901-8551 -OR-
Fax to (732) 932-8644 Attn: Paul Sauers Questions? (732) 932-9800 ext. 6136
Payment upon Registration is Requested
Make Vouchers, P.O.s, or Checks payable to: Rutgers, Environmental Sciences - Air

Name
Employer
Address
City, State, Zip
Phone # & Fax #
Course Title and Date
Tuition Category

Billing Information if Payment is Not Enclosed:

Billing Contact
Address (if not same as above)
Phone # & Fax #

Course Tuition

TUITION CATEGORY	VE CERTIFICATION	VE RECERTIFICATION	ODOR FIELD ENFORCEMENT (FULL COURSE OR REFRESHER)
General	$495	$195	$295
NJ State Governmental Agency	$100	$75	$85
USEPA Region II / III	$100	$75	$85
NJDEP Approved CEHA	$40	$40	$40

TUITION CATEGORY

PRINCIPLES AND PRACTICES OF AIR POLLUTION CONTROL

SOURCE SAMPLING FOR PARTICULATE POLLUTANTS

General

$795

$895

NJDEP Approved CEHA

$40

$895