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Procurement


Phone: 609.530.2452
Fax: 609.530.2212

Professional Services
Bridge Inspection Refresher Training


NHI Course No. 130053 Interest Form


This course is scheduled for NJDOT in-house personnel, and New Jersey County and Agency personnel. Some seats will, however, be available for Consultant personnel, and a priority list will be established based on the date of response.

Notes:
- Submitting this form does not register you for the course.

- Do not express interest in this course if you will not be able to attend in its entirety. If you miss any portion of the course, no credits and no certificate will be granted.

- Everyone will be notified regarding acceptance approximately two weeks prior to the start date of training. Please submit any inquiries via e-mail - all email inquiries will be answered.

For more information: visit the NHI Web site.

This form should be completed no later than May 17, 2013.

*Required Fields

* Name:
* Organization/Firm:
* Street Address/PO Box:
* City:
* State:
* Zip:
County:
* E-mail Address:
* Phone:
Ex: XXXXXXXXXX (10 digits)
* Mobile Phone:
Ex: XXXXXXXXXX (10 digits)
FAX:
Ex: XXXXXXXXXX (10 digits)
Title:

* Have you attended this course in the past? Yes No

* When have you attended in the past?


 
Each firm will be limited to ONE (1) participant, unless space permits. If your firm submits registrations for more than one engineer, please indicate the order of preference in comment area above.

I am interested in the session that runs:
June 11th - 13th (3 Days)

I verify that I have entered all of the required
       information in the form above.

Click on the "Submit" button below
to send this form for processing.

Clear the Form
 
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  Department of Transportation
  P.O. Box 600
  Trenton, NJ 08625-0600
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  Last Updated:  April 30, 2013