OSHA 10-Hour General Industry Attendee Registration Information Form Upon successful completion of the class, each attendee will receive: a certificate of attendance, an official wallet card, and a verification card with a QR code. DATE: July 22-23, 2021 TIME: 8:00m - 5:00pm LOCATION: Hampton Inn - Duncanville 202 East Interstate 20 Duncanville, TX 75116   Enter attendee information and press submit to pay for enrollment Attendee Information: First:* Last:* Job Title:         Company Name       Address Line 1:* Yes No Include on mailing list?           Address Line 2:               City:* State:* ZipCode:*       AL AK AR AZ CA CO CT DE DC FL GA HI IN ID IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY Email Address:* Phone:* Extension:         * Required Fields              Submit   Reset   Cancellation & Refund Policy: Class registration fees may be transferred. Cancellation requested prior to two (2) business days before the first day of class will be refunded less a $10.00 cancellation fee. Cancellation made after 12:00 a.m. on the day prior to the scheduled start time will be deemed a “no-show”. No refunds will be processed for "no-shows".

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