IABTI Region 3 Electronics Class Registration

All applications will be reviewed and applicants will be notified via email upon approval.

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First Name Last Name
Email
Phone
Company
Address

City State/Province Zip

EOD Affiliation: –None– Active EOD Active PSBT NATO EOD NATO PSBT Retired

HDS/NAVSCOLEOD Class Number:
Electronics Experience Campaign ID: 7016g000000EAf9AAG. Please describe your Electronics Experience.

3D/CNC Experience: –None– Yes No

Supervisor Contact Info (Optional):



Active Duty End Date: