2015 CENTEX TEXAS Annual Fall Conference & Workshop October 10 & 11, 2015 ASSOCIATION FOR TASBT REGISTRATION FORM SCHOOL BUS Certification Classes Deadline for registration October 1, 2015 TECHNICIANS ***PLEASE TYPE or PRINT CLEARLY*** NAME: _________________________ SCHOOL DISTRICT: _________________________________ SCHOOL ADDRESS: _______ CITY: ZIP: _________________________ _________________________ POSITION: _________________________________ BUS. PHONE: FAX: _________________________ SIGNATURE: _________________________ E-Mail Address: _________________________________________ Certification Classes Offered: Saturday, October 10, 2015 Sunday, October 11, 2015 Class # All classes start at 8:00 AM SBT 02 Safety Inspection Full Day $65 Class # All classes start at 8:00 AM SBT 02 Safety Inspection (1/2 day PM) SBT 02.5 Safety Inspection for Mangers $35 SBT 10 Shop Management (1/2 day AM) $35 SBT 06 Basic Electronics (1/2 day AM) $35 SBT 06A Advanced Electronics $65 SBT 07 Basic Air Brakes (1/2 day PM) $35 SBT 03 Air Brakes $65 SBT 09 Alternative Fuels (1/2 day AM) $35 SBT 08 Shop Safety (1/2 day PM) $35 Free retest on any class not passed in the past 12 months. RE-TEST Register me for Class # __________________ $______ Register me for Class # ____________ $ ______ Register me for Class # ____________ $ ______ Registration fee (June 1, 2015-May 31, 2016) TOTAL DUE (Please Check) _____No Charge $ 20.00 $ Please return this FORM and FEES to: TASBT, 595 County Road 3081, Lampasas, TX 76550. We accept Purchase Orders and will send invoice. We accept checks, cash or purchase orders and credit cards. On the credit cards there is a 5% up charge. For more information contact Judy Kline at (512) 556-9352, cell 254 630-4052 or fax (512) 5565930 or email tasbt11@gmail.com For information and registration go to CENTEX. You MUST register for the conference with CENTEX if you want to participate in their activities. Then register for TASBT for Classes. If you paid dues (registration fee) since June 2015, you do NOT need to pay registration fee. Classes will be held at the Embassy Suites, 1001 East Mc Carty, San Marcos in conjunction with CENTEX Fall Conference. We will hold our classes on Saturday and Sunday with a Vendor show on Saturday with lunch provided if you register with CENTEX ($20.00 for Vendor show, lunch and tail gate party). Classes will resume after the Vendor show. In order for our classes to be held, we must have at least 15 Technicians register for each class. If we do not obtain at least 15 the class will be cancelled. Please be sure that your registration in the office by October 1, 2015 so we can make the decision if classes will be held. Late registrations (after October 1) will be charged an additional fee of $20.00.