IA Seminar

REGISTRATION IS OPEN

NOTE LOCATION HAS CHANGED!!!!

February 29, 2020

8:00-5:00 Check in- 7:00am

LUNCH AND SNACKS ARE PROVIDED

You must PRE-REGISTER

Register and pay by 5:00pm 2/14/2020:     $135.00
Register and pay after 5:00pm  2/14/2020:     $150.00
CHECK, CASH, VISA, M/C, AMEX & DISCOVER

APPROVED COURSE# c-ind-im-180821-k-010-001

NEW!!! COURSE LOCATION:
Waxahachie CiviC Center
2000 Civic center Lane
Waxahachie, tx 75165
http://www.waxahachie.com/visit_waxahachie/waxahachie_civic_center/index.php

2 hotels next to civic center:
Hampton Inn by Hilton  (972) 923-0666
Fairfield Inn by Marriott (972) 937-8886

questions:  hollyf@asod.com

North Texas FSDO CONTACT INFO:
8700 Freeport Parkway
Suite 225
Irving, TX 75063
214-277-8500
TONY BAUMGARD, IA COORDINATOR
214-277-8513 Direct Line E.TONY.BAUMGARD@FAA.GOV

REFUNDS: To receive a refund, you must notify us by:
Friday February 21, 2020.

complete the following to sign up- then hit submit

* Indicates required field

Name (What you are normally called) *

First

Last

Name on Renewal paperwork ***ADD MIDDLE NAME AFTER FIRST*** FAA wants FULL Middle Name *

First

Last

Mailing Address (What the FAA has) *

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City

State

Zip Code

Country

COUNTY- Dallas, Tarrant, Colllin, Hunt, etc..., Not USA *

Email *

Cell or Daytime Number *

Phone Number (Other) *

Date of Birth *

FAA IA ID# **If you are not an IA, please put N/A *

FSDO - North TX, San Antonio, etc... *

Fixed Base of Operations (Daytime Address) **If it is the same, just type same *

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Payment method- if Credit Card, we will call you once we receive this sign up form *

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