Wednesday, February 22, 2012

Sign Up For An ILC/PT

Contact/Billing Information
*Date (mm/dd/yy):  Calendar
*Company/Organization:
*Who is your Accrediting Body?
If Other, please describe:
Shipping Information
*Contact Name:
Title:
*Phone:
*Fax:
*Email:
*Street Address:
*City:
*State:
*Zipcode:
Country:
Billing Information
*Contact Name:
Tilte:
*Phone:
*Fax:
*Email:
*Street Address:
*City:
*State:
*Zipcode:
Country:

ILC/PT Enrollment

To enroll in an ILC/PT, please:

1) Select your test(s) from the drop down list

2) Indicate how many technicians (default is 1)

3) Enter total fee per test (see Fee Schedule or call us at (952) 303-6126

4) If you are signing up for a Regional Test, please indicate which location/date in the 'Comments/Special Requests' section of the form

 

Select 1 or more ILC/PTs # of technicians Total Fee (per test)
$
$
$
$
$

Payment Options

Fees are payable to: National Association for Proficiency Testing
To pay by credit card, please call NAPT at (952) 303-6126

PO Number (Optional):  
 
 
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