REGISTRATION FORM

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

October 8-12, 2007
at the

Forsyth County Ag Center
1450 Fairchild Drive
Winston-Salem, NC 27105

November 5-9, 2007
at the
Dennis A. Wicker Civic Center
1801 Nash Street
Sanford, NC 27330

There are two ways to register:

  1. Print out and fill in the REGISTRATION FORM FOR WINSTON-SALEM APCAP or REGISTRATION FORM FOR SANFORD 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 WINSTON-SALEM APCAP or E-MAIL REGISTRATION FORM FOR 30-HOUR SANFORD APCAP.

Note 1:  The Courtyard by Marriott is offering a rate of $60.00 per night plus tax for the Winston-Salem APCAP. Please make hotel reservations directly with the Courtyard by Marriott, 3111 University Parkway, Winston Salem, NC 27105; (336) 727-1277. Special rate cut-off is September 21, 2007. When making reservations, please mention NCIC, which is the Promotion Code for special room rates!

Note 2:  The Quality Inn Sanford is offering a rate of $54.50 per night, plus tax, for the Sanford APCAP. Please make hotel reservations directly with the Quality Inn Sanford, 1403 N. Horner Boulevard, Sanford, NC 27330; (919) 774-6411. When making reservations, please mention NCIC, which is the Promotion Code for special room rates!

*$4.00 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/