Course Registration, MDT2 Center, Clark School of Engineering, University of Maryland

MDT2 Course Registration Form

Fields marked with an * are required information.

Personal Information

*Your Name:

Mr. Mrs. Ms.

Title/Office:

Dept/Division:

*Agency/Company:

*Address:

*City:

*State: *Zip:

*Phone:

*Email:

* Are you registering for yourself or others?

Self ONLY Others ONLY (add names below) Self AND Others (add names below)

Add additional names here, if needed:

*Billing:

Bill Us	Will bring check
Will send P.O. or Check	Will call in Visa or Mastercard (call 301.403.4623)

If paying by check, make check payable to the Maryland T2 Center.

Fees paid for our courses include registration, course materials,
a continental breakfast and a variety of refreshments, unless otherwise noted.

Comments:

(List billing contacts, PO#, special needs, dietary restrictions, etc)

Where did you hear about this course? other:

Do you want us to add/update your information in our mailing list? Yes No

I prefer to receive information by email.

Note that class sizes are limited. It is essential that you confirm your registration with us via email or by calling Janette Prince at 301-403-4623.

Course Selections

	New Course! December 9, 2009 Budgeting for Public Works Departments		April 14-15, 2010 (Day-and-a-half Course) Techniques for Reducing Construction & Maintenance Costs
	New Two-Day Course! December 15-16, 2009 The 7 Habits of Highly Effective People		April 21, 2010 Engineering Fabrics, Grids, Webs, and Cells (What They Are and How They're Used)
	January 20, 2010 Asphalt Roads - Common Maintenance Problems		May 5, 2010 Road Surface Management
	January 21, 2010 Flagger Certification		May 12, 2010 Low Cost Safety Improvements
	February 3, 2010 Asphalt Resurfacing		May 19, 2010 Preventive Pavement Maintenance
	February 17, 2010 Asphalt Recycling		June 2, 2010 Unpaved Gravel Road Maintenance
	March 3, 2010 Basic Drainage		June 16, 2010 Traffic Signs
	March 10, 2010 Understanding Road Design & Maintenance for Elected Officials		September 22, 2010 Winter Maintenance
	March 24, 2010 Construction Mathematics

For more information about the courses listed above, see our Currently Scheduled Courses page.