Mary Roth Staff Training Programs Provider 32780

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Or mail registration form to: PO Box 13619 Arlington, TX. 76094

Questions?  Call us at 817-265-7110 or email classroomce@yahoo.com

Choose the class that suits you best :
Classes Held at 3610 W. Pioneer Parkway #102,  Arlington, TX. 76013

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Complete the following for registration

DATE

TIME

Course Name

# OF HOURS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First Name: ________________________ Last Name: __________________________
Agency or Company: _________________________________________________________________           
Address: ______________________________________________________________________

Email: _________________________________Telephone:_______________
TDI License Number______________________________________
We accept checks or cash – (mail in or bring on the day)
Make checks out to Mary Roth                       
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