PRE-REGISTRATION REQUEST FORM

Please complete this form to pre-register for events and training. Fields noted with a red asterisk * are required. Registration is not complete until confirmed by Revere Electric.

Course/Seminar Information

  • Event Name: Rockwell automation
  • Date/Time: Tue, May 03 2022 - Thu, May 05 2022 / ; 01:30 PM - 02:30 PM
  • Location: Chicago, IL

Customer Information

Please Click Here if you are signing up students aside from yourself.

Additional Information

Billing Information

Cost: $ 10

Once available space is confirmed, Revere Electric will contact you regarding payment information.

How can we contact you?
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