OKLAHOMA STATE UNIVERSITY
FIRE PROTECTION & LOSS CONTROL
COURSE REGISTRATION
 
 

 Course Name:

 Course Date:     Course Location          Course Price/Person:  

 Primary Contact’s Name:

 Participant’s Name:

 Participant Title:

 Company Name:

 Company Address:

 City:    State:     Zip:

 Phone:    Fax:          Email:

 

 Total Registration Amount:

 Does this registration go towards FPTC completion:

 Method of Payment:

 Check (payable to OSU CEAT Continuing Education):

 MC/Visa #:   Exp. Date (MM/YY):

 Invoice Company: FEI #: PO#:



My Companies Primary Duties Include:
  • Architecture
  • Fire Department, police department, government (city, county, state, federal)
  • Fire sprinkler contracting, designing, and engineering
  • Insurance or research
  • Manufacturing, facilities, maintenance
  • OSU FIRET alumni
  • Other
    Describe other:

I found out about OSU training by:
  • Brochure
  • Internet
  • Key Code
  • Newsletter/Magazine
  • Previous Participant
  • Other
  Describe other:

 

Please complete one copy for each participant.

Fax to:

(405) 744-5369

Mail to:

OKLAHOMA STATE UNIVERSITY
CONTINUING EDUCATION
512 ENGINEERING NORTH
STILLWATER, OK 74078

Return to the Fire Protection Home Page