TWU Local 100 - NYC Transit TRAINING & UPGRADING FUND

REGISTRATION FORM

GENERAL INFORMATION

Pass # *

Email *

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

Home Phone

Cell Phone*

Title

OTHER INFORMATION

Have you taken any other courses with TUF?

Yes No

If yes, please list the courses you have taken

If no, tell us how you heard about our courses?

Mailing Email Blast Fax Blast Union Rep Co-Worker Phone Call Other

COURSE INFORMATION

Please use this form to submit your course selections. You may also use this form to submit any request for new classes that you may want to take. TUF will consider all request for new courses. If you have any questions, please feel free to reach out to us at 718-780-8700 from Monday through Friday between the hours of 9:00am to 5:00pm

Course Name	Location	Class Dates	Class Time	Days