Explosion Effects and Structural Design for Blast
A Two-Day Training Course
San Antonio - Airport Drury Inn & Suites
December 9 and 10, 2008

Registration Form
Fax this completed application to: FAX No. (573) 882-4784

then mail the registration fee payment to the address below:
Or mail the application with the payment to:
Dr. Sam Kiger, PE
1213 Dunbar Drive
Columbia, MO 65203

Application Deadline: Dec 2, 2008 or when enrollment reaches capacity

First Name

Last Name

Professional Title

Company

Address

City

State

Zip Code

Phone

( ) -

Fax

( ) -

E-mail

Payment Information

Registration Fee: $995.00 per person
If registering via mail:
Mail printed application and a check (only checks are accepted via faxed/mailed applications) for the amount of $995.00, made out to Dr. Sam Kiger, to the following address.
If registering via fax:
Fax printed application to 573-882-4784 and mail a check (only checks are accepted via faxed/mailed applications) for the amount of $995.00, made out to Dr. Sam Kiger, to the following address.
Dr. Sam Kiger, PE
1213 Dunbar Drive
Columbia, MO 65203

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