CRS
Senior Carpet Inspector
Course Registration

This course requires the student to have the following IICRC active certifications as
prerequisites to the Senior Inspector Course:

  1. CCT - Carpet Cleaning Technician
  2. RRT - Repair/Reinstallation Technician

Course is $1,795 per attendee.
Minimum deposit of $500 required for each person attending.
(Please register and pay once for each person attending in your party.  Thank you.)

Choose the class you are registering for:
Name (First Last)
Company (optional)
Address
Address 2
City, ST ZIP
Phone
Fax
Please fill in amount to be charged (e.g. $500 or $1,795)
Credit Card Number
Expiration Date
CVN Number
Name as it appears on Card
Email Address
Number of people in your party:   (Please fill this form out for each attendee.)
Will you require overnight accommodations? Yes    No
Will you require rental transportation? Yes    No
Will you require a notebook computer? Yes    No

I certify that I am legally authorized to use the above credit card for the above mentioned registration to the Senior Carpet Inspector Course being held at CRS in Portland, OR.

_________________________________________________________
Authorized Signature

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Fax this Form to (503) 235-9843.