REGISTRATION FORM

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

September 8-12, 2008
at the
Sheraton Atlantic Beach
2717 W. Fort Macon Road
Atlantic Beach, NC 28512

There are two ways to register:

  1. Print out and fill in the REGISTRATION FORM FOR ATLANTIC BEACH 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) 715-6573
ATTENTION: DENNIS PARNELL

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

Note: The Sheraton Atlantic Beach is offering a rate of $63.75 per night, plus tax, for the Atlantic Beach APCAP.  Please make hotel reservations directly with the Sheraton Atlantic Beach, 2717 W. Fort Macon Road, Atlantic Beach, NC 28512; (252) 240-1155. When making reservations, please mention NCIC, which is the Promotion Code for special room rates!  Rate cut off is August 8, 2008.

*$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) 715-6573
NCIC Home Page: http://www.comp.state.nc.us/