Registration Request for Kebcor.com Training
complete and send this form.
Agency Address: ____________________________
Phone (with Area Code) __________ Fax (with Area Code) __________
Title-Rank: _________________ Agency: ____________________________
Course Title: ______________________________________________________
Location: _________________ Date(s): ________________
Person to whom billing is to be sent:
Agency Address: (If different from above)
City : _______________________
Phone (with area code): __________________E-mail:_____________________
This Registration Request Form may be photocopied for multiple enrollments.
You may also request registration for Kebcor.com training on line at www.kebcor.com/course_registration.htm
Real Life Programs for "What You Do" in Public Safety and Telecommunications