Spring 2023 TRAQ Renewal Course - Illinois Arborist Association

First Name *

Last Name *

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State

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TRAQ Renewal – June 21st *

ISA Member – $220.00
Non ISA Member – $260.00
Exam Retake Only – $150.00

*Course Registration fee includes study materials along with lunch and breaks during the one-day course. **Exam retakes must contact ISA Headquarters to register.

Are You an ISA & IAA Member? *

Yes
No

If Yes, Please Provide Your ISA Member Number:

Do You Currently Hold an ISA Certification Credential? *

Yes
No

If Yes, Please Provide Your ISA Certification Number:

Current TRAQ Expiration Date: *

Member Dues

ISA Membership – New or Renew – $135.00
IAA Membership – New or Renew – $55.00
ISA & IAA Membership – New or Renew – $190.00

Emergency Contact *

First

Last

Emergency Phone *

Dietary Issues / Allergies *

Yes
No

Friday Lunch Choices – Select One *

Chipotle Chicken Avo Melt Boxed Lunch
Smokehouse BBQ Chicken Sandwich Boxed Lunch
Turkey & Cheddar Sandwich Boxed Lunch
Bravo Club Boxed Lunch
Mediterranean Veggie Sandwich Boxed Lunch
Fuji Apple Salad with Chicken Boxed Lunch
Caesar Salad with Chicken Boxed Lunch
No Lunch- There will be NO discount if you choose not to eat lunch

*All box lunches come with chips for a side and salads come with a French baguette. Drinks will be water. ** Breakfast will be an assortment of freshly baked bagels and morning pastries. Served with individual servings of cream cheese spread and butter.

Total

$0.00

All major credit/debit cards accepted. The CVV Code must be entered for payment to be received. *

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	Mon - Fri 8:00 to 4:00PM