Cost: $145.00 per day/person Please select Registration Method. You can either fill out form below to register online and then call with payment information, or Download Registration Form and print, fax, mail or email. *Required Company Name* Person Authorizing Training* Select Training* —Please choose an option—New MinerAnnual Refresher Class begins at 8 am (EST) Date(s) for training* (Format mm/dd/yyyy) Does your company have a training plan?* —Please choose an option—YesNo Check One —Please choose an option—Part 48Part 46 Check All That Apply SurfaceUndergroundMetalNon-MetalCoal Student Full Name for Certificate:* ONLY One Per Registration Form Address for mailing Certificate(s)*: Attention Phone Number we can reach the student on training day:* Email Address to Send Class Materials & Class Link to:* By signing below, you agree "I have read the above information and agree that all terms and statements are correct. Furthermore, I verify that the above named person is attending this class." False certification of training documentation is punishable under section 110(a) and 110 (f) of the Federal Mine Safety and Health Act (P.L. 91-173 as amended by P.L. 95-164) Signature: Use your mouse to write below. *Required Print Name* Date* (Format mm/dd/yyyy) Click Continue, you will then be taken to the payment section. The cost for the open class is $145 per person per day.