Register for a Bane-Clene Specialty Training Class.
About 2 - 4 weeks before the meeting,
we will mail you the location & directions for the meeting.

If this is a meeting for which there is a charge,
please let us know if we have your credit card on file;
otherwise, please register by phone for security reasons.

NOTE: All fields in red and identified with a red asterick * are required before submitting this form to us.

NOTE: Registration for the regular 3-day Bane-Clene Management classes must be phoned in.

* Your first name:
* Your last name:
* Company name (Enter "None" if no company name yet):
* Street address:
* City:
* State/Province:
* Postal Code:
*Telephone incl. Area Code:
* e-Mail Address:
Are you currently cleaning carpet? Yes      No
Are you a Bane-Clene customer? Yes      No
What is your primary interest? Chemicals     Equipment

Check
box(es)
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meeting(s)
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for:


IICRC Carpet Cleaning Technician 2-day Course
   Only $199.00/person - IICRC Exam available for additional $50 charge,

Authorized firm application separate, payable directly to IICRC, not to Bane-Clene..
Pre-paid reservations are required!
Most Carpet Manufacturers, including Shaw, are requiring IICRC certification starting in 2008!
   September 18-19 , 2008 8 AM - 5 PM
   at the Indianapolis Bane-Clene Training Center

Stone, Marble & Grout Class
   Only $199.00/person
   October 16, 2008 8 AM- 5 PM

   at the Indianapolis Bane-Clene Training Center
Wood Floor Restoration Class
   Only $199.00/person
   October 17, 2008 8 AM - 5 PM

   at the Indianapolis Bane-Clene Training Center
Please enter any additional attendees besides yourself:
* Please enter method of payment (if any) -
Call with credit card information if we do not have it on file
If mailing a check, mail to the attention of Donald Terry.
If you take the IICRC exams, they are paid directly to IICRC the day you take the test.
NOTE: IICRC does not take Discover!
Application for company certification is separate.

Please enter any additional comments:
What equipment do you presently own, if any?