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zWisconsin Lead

For those interested in mailing a check please fill out the form below.  Please submit the form electronically by hitting SUBMIT, then print out a copy of the form to mail with a check. OR to pay by credit card please click here

Due to Instructor/Student ratio requirements, payment MUST be received 10 days prior to class. Your seat is not guaranteed until payment is received.

Please enter your information to register for the course that you choose. You will receive a confirmation letter and invoice in the mail. If you choose to pay online with a credit card, you will not receive an invoice.

Please provide the following contact information (only for people paying by check NOT credit card online):

Please provide the following contact information:

Name(s)
 
 
 
Organization
Street Address
City
State
Zip Code
Work Phone
Home Phone
Fax
Email
Company website

Please choose from the list which courses you would like to register for:
 

Course #1

Course #2


Course #3



To help prevent fraud enter the number displayed below
  9452

 


 

Please note that we will need to see a form of ID when you sign in on the day of the class. This must be a picture ID.  If you have any questions about acceptable IDs, contact the State Department of Health at 608-261-6876. 

Contact Information

Milwaukee Office:

                     Milwaukee Lead/Asbestos Information Center
                    
3495 N. 124th Street
                    
Brookfield, WI 53005
                    
414-747-0700

Dane County Office:

                     MidWest Certified Training, Inc.
                     741 Lois Drive

                     Sun Prairie, WI 53590

                    
608-318-2266

General Information: rocky@mlaic.com


Send mail to joan@mlaic.com with questions or comments about this web site.