Registration Form

Professional Environmental Training

316 Pennsylvania St, South Houston TX 77587
Ph: (713) 921-8921 Fax: (713) 944-6250
Website: www.proenvtraining.com | E-Mail: proenvtraining@proenvtraining.com
Instructor: Fredy Polanco, MS, CSP
Instructor: William M. Young CIH, CSP

Customer Information
First Name: 
 * MI:  Last Name:   *
Email Address:   * (ex. yourname@yourdomain.com)
Phone:   *
Fax: 
Course To Register:   *
Employer:   *
Course Date:   (Use Calendar Icon or enter date format: mm/dd/yyyy)
Address:  *
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Zip Code:   *
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Form Of Payment
 Cash     Money Order     Check     Credit Card 
 (We accept Master Card, Visa and American Express)
 
Method Of Payment
 Mail     Bring To Class 
 
Mailing List
Make Checks payable to Professional Environmental Training.
Send Checks to: 316 Pennsylvania St.,
South Houston, Texas 77587
*Classes held in South Houston are held in 316 Pennsylvania St., Certificates will not be issued until payment is received.
 Yes     No Thanks 
 

PLEASE CALL FOR DETAILS TO SCHEDULE TRAINING AT YOUR FACILITY

Tel: 713-921-8921 | Fax: 713-944-6250 | E-Mail: proenvtraining@proenvtraining.com

It is our policy to require payment for courses at the time services are rendered. Payment may be made by Cash, Check or Credit Card (VISA, American Express or Master Card). A return check fee of $30 will be assessed on any returned checks. A $25.00 fee will be charged for replacement LD. Cards or Certificates.

Cancelations within 15 calendar days in advance of Initial course start date will receive a 100% refund except for the 6% processing fee for credit card payments. Cancelations within one calendar week of course start date will be charged 30% of total registration fee. If you cancel within two calendar days of scheduled course start date, no refund will be awarded. In the case of emergency cancelations, you will receive a 50% credit toward your next class.


Professional Environmental Training ®

316 Pennsylvania St. South Houston, TX 77587-3420
Ph: (713) 921-8921 Fax: (713) 944-6250
Instructor: Fredy Polanco, MS, CSP
Instructor: William M. Young CIH, CSP