REGISTRATION FORM

FREE*
30-Hour Accident Prevention Certificate
Awareness Program
Presented by N.C. Industrial Commission Safety Education Section

March 5-9, 2007
at the
Wilkes Community College
Alumni Hall Room 1112
1328 South Collegiate Drive
Wilkesboro, North Carolina 27954.

(336) 838-6100

There are two ways to register:

  1. Print out and fill in the REGISTRATION FORM FOR 30-HOUR APCAP and mail or fax it to:

N.C. Industrial Commission Safety Education Section
4339 Mail Service Center
Raleigh, NC 27699-4339
(919) 807-2603, Fax: (919) 715-0282
ATTENTION: DENNIS PARNELL

  1. Register online via the E-MAIL REGISTRATION FORM FOR 30-HOUR APCAP.

Note: The Addison Inn is offering a rate of $59.75 plus tax. Please make hotel reservations directly with the Addison Inn, US Highway 421 North, Wilkesboro, NC 28697, Phone: (800) 672-7218 or click here to make the reservation online. Special rate cut-off date is February 26, 2007. When making reservations, please mention NCIC, which is the Promotion Code for special room rates!

*$3.00 per person cost to cover defensive driving
course book is payable at the workshop.


N.C. Industrial Commission ·   Safety Education Section
4339 Mail Service Center ·   Raleigh, NC 27699-4339
Telephone: (919) 807-2603 ·   Fax: (919) 715-0282
NCIC Home Page: http://www.comp.state.nc.us/