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wallcolmonoy.regfox.com Open in urlscan Pro
104.18.22.85  Public Scan

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Submitted URL: https://email.wallcolmonoy.com/e3t/Ctc/5C+113/cDcr304/VW6JVX4Bpw1qW7wF8ty84tZ7MW6-Tm8p53l96QN4Rsyfd5nR32W5BWr2F6lZ3lcN4s4zhqtJk...
Effective URL: https://wallcolmonoy.regfox.com/usa-modern-furnace-brazing-school-oct-2023?utm_campaign=USA%20Modern%20Furnace%20Brazing%20Schoo...
Submission: On September 12 via api from GB — Scanned from GB

Form analysis 1 forms found in the DOM

<form autocomplete="off" novalidate="">
  <div style="min-height:200px;background-color:#F39C12" class="field-banner full-width-field">
    <div class="header-field">
      <div class="banner holds-banner-text fr-view">
        <p class="text-center"><span style="color:rgb(255, 255, 255)"><span style="font-size:42px">USA<!-- --> <!-- -->MODERN<!-- --> <!-- -->FURNACE<!-- --> <!-- -->BRAZING<!-- --> <!-- -->SCHOOL</span></span></p>
        <p class="text-center"><span style="color:rgb(255, 255, 255)"><span style="font-size:42px">October<!-- --> <!-- -->24-26,<!-- --> <!-- -->2023</span></span></p>
        <p class="text-center"><span style="color:rgb(255, 255, 255);font-size:28px">Secure<!-- --> <!-- -->Online<!-- --> <!-- -->Registration</span></p>
      </div>
    </div>
  </div>
  <div style="background-color:#fff" class="field-banner full-width-field">
    <div class="header-field">
      <div class="banner holds-banner-text fr-view">
        <p>First<!-- --> <!-- -->Person<!-- --> <!-- -->Attendee<!-- --> <!-- -->Price:<!-- --> <!-- -->$2,500<!-- --> <!-- -->|<!-- --> <!-- -->Additional<!-- --> <!-- -->attendees<!-- --> <!-- -->from<!-- --> <!-- -->the<!-- -->
          <!-- -->same<!-- --> <!-- -->location<!-- --> <!-- -->are<!-- --> <!-- -->$2,400</p>
        <p>Any<!-- --> <!-- -->cancellations<!-- --> <!-- -->received<!-- --> <!-- -->within<!-- --> <!-- -->two<!-- --> <!-- -->weeks<!-- --> <!-- -->prior<!-- --> <!-- -->to<!-- --> <!-- -->the<!-- --> <!-- -->course<!-- --> <!-- -->will<!-- -->
          <!-- -->be<!-- --> <!-- -->subject<!-- --> <!-- -->to<!-- --> <!-- -->a<!-- --> <!-- -->$600.00<!-- --> <!-- -->cancellation<!-- --> <!-- -->fee<!-- --> <!-- -->for<!-- --> <!-- -->each<!-- --> <!-- -->attendee</p>
        <p>Payment<!-- --> <!-- -->is<!-- --> <!-- -->due<!-- --> <!-- -->in<!-- --> <!-- -->full<!-- --> <!-- -->by<!-- --> <!-- -->start<!-- --> <!-- -->of<!-- --> <!-- -->session</p>
        <p><strong>Location:</strong><br>Wall<!-- --> <!-- -->Colmonoy<!-- --> <!-- -->Aerobraze<br>Brazing<!-- --> <!-- -->Engineering<!-- --> <!-- -->Center<br>940<!-- --> <!-- -->Redna<!-- --> <!-- -->Terrace<br>Cincinnati,<!-- -->
          <!-- -->OH<!-- --> <!-- -->45215</p>
        <p>Contact<!-- --> <a href="mailto:brazingschool@wallcolmonoy.com">brazingschool@wallcolmonoy.com</a> <!-- -->if<!-- --> <!-- -->you<!-- --> <!-- -->have<!-- --> <!-- -->any<!-- --> <!-- -->questions</p>
      </div>
    </div>
  </div>
  <div id="top"></div>
  <section id="registrants" class="registrant-info">
    <div>
      <div id="registrant-0" class="registrant multi-reg"><input type="checkbox" id="toggle-registrant-0" class="accordion-toggle" aria-hidden="true">
        <div class="director-registrant">
          <div class="field-regOptions registrant-field field-registrant-0">
            <div class="multipleChoice"><label for="x7d33b7ca41aa9b6ff12a" class="must-show">Registration<span class="required-field" aria-hidden="true">*</span></label>
              <div class="field-area">
                <ul class="list-radio">
                  <li style="clear:left"><label class="must-show"><input type="radio" id="x7d33b7ca41aa9b6ff12a_0" value="9d479e8e-9957-5e7a-a9ca-d2e8d67c1551" checked="" name="x7d33b7ca41aa9b6ff12a" required=""> <!-- -->Full Registration<!-- -->
                      ($2,500.00)<!-- --> [16 remaining]</label></li>
                </ul>
              </div>
            </div>
          </div>
          <div class="field-lineBreak registrant-field field-registrant-1">
            <hr class="dotted line-break" style="border-width:1px">
          </div>
          <div class="field-copyRegInfo registrant-field field-registrant-2"></div>
          <div class="field-name registrant-field field-registrant-3">
            <div class="name sub-field"><label for="xe35b26a1c2b5e44d5e3a_firstName">Name<span class="required-field" aria-hidden="true">*</span></label>
              <div class="field-area multi-field"><input type="text" id="xe35b26a1c2b5e44d5e3a_firstName" placeholder="First" aria-label="First Name" value="" required="" class="first"><input type="text" id="xe35b26a1c2b5e44d5e3a_lastName"
                  placeholder="Last" aria-label="Last Name" value="" required="" class="last"></div>
            </div>
          </div>
          <div class="field-textField registrant-field field-registrant-4">
            <div class="textField"><label for="x7c4f10bc115dfd7024df">Job Title</label>
              <div class="field-area multi-field"><input type="text" id="x7c4f10bc115dfd7024df" placeholder="Job Title" value="" class=""></div>
            </div>
          </div>
          <div class="field-textField registrant-field field-registrant-5">
            <div class="textField"><label for="x1d7bb33a77b75d3dae98">Company</label>
              <div class="field-area multi-field"><input type="text" id="x1d7bb33a77b75d3dae98" placeholder="Company" value="" class=""></div>
            </div>
          </div>
          <div class="field-address registrant-field field-registrant-6">
            <div class="address holds-address">
              <div class="sub-field"><label for="xf08a7d2bb0b68ef1086e_country">Address<span class="required-field" aria-hidden="true">*</span></label>
                <div class="field-area"><select id="xf08a7d2bb0b68ef1086e_country" class="country" aria-label="Country" required="">
                    <option value="US">United States of America</option>
                    <option value="CA">Canada</option>
                    <option value="" disabled="">----------------------</option>
                    <option value="AF">Afghanistan</option>
                    <option value="AL">Albania</option>
                    <option value="DZ">Algeria</option>
                    <option value="AS">American Samoa</option>
                    <option value="AD">Andorra</option>
                    <option value="AO">Angola</option>
                    <option value="AI">Anguilla</option>
                    <option value="AQ">Antarctica</option>
                    <option value="AG">Antigua and Barbuda</option>
                    <option value="AR">Argentina</option>
                    <option value="AM">Armenia</option>
                    <option value="AW">Aruba</option>
                    <option value="AU">Australia</option>
                    <option value="AT">Austria</option>
                    <option value="AZ">Azerbaijan</option>
                    <option value="BS">Bahamas</option>
                    <option value="BH">Bahrain</option>
                    <option value="BD">Bangladesh</option>
                    <option value="BB">Barbados</option>
                    <option value="BE">Belgium</option>
                    <option value="BZ">Belize</option>
                    <option value="BJ">Benin</option>
                    <option value="BM">Bermuda</option>
                    <option value="BT">Bhutan</option>
                    <option value="BO">Bolivia</option>
                    <option value="BA">Bosnia and Herzegovina</option>
                    <option value="BW">Botswana</option>
                    <option value="BV">Bouvet Island</option>
                    <option value="BR">Brazil</option>
                    <option value="IO">British Indian Ocean Territory</option>
                    <option value="BN">Brunei Darussalam</option>
                    <option value="BG">Bulgaria</option>
                    <option value="BF">Burkina Faso</option>
                    <option value="KH">Cambodia</option>
                    <option value="CM">Cameroon</option>
                    <option value="CV">Cape Verde</option>
                    <option value="KY">Cayman Islands</option>
                    <option value="TD">Chad</option>
                    <option value="CL">Chile</option>
                    <option value="CN">People's Republic of China</option>
                    <option value="CX">Christmas Island</option>
                    <option value="CC">Cocos (Keeling) Islands</option>
                    <option value="CO">Colombia</option>
                    <option value="KM">Comoros</option>
                    <option value="CK">Cook Islands</option>
                    <option value="CR">Costa Rica</option>
                    <option value="CI">Cote D'Ivoire</option>
                    <option value="HR">Croatia</option>
                    <option value="CU">Cuba</option>
                    <option value="CY">Cyprus</option>
                    <option value="CZ">Czech Republic</option>
                    <option value="DK">Denmark</option>
                    <option value="DJ">Djibouti</option>
                    <option value="DM">Dominica</option>
                    <option value="DO">Dominican Republic</option>
                    <option value="EC">Ecuador</option>
                    <option value="EG">Egypt</option>
                    <option value="SV">El Salvador</option>
                    <option value="GQ">Equatorial Guinea</option>
                    <option value="ER">Eritrea</option>
                    <option value="EE">Estonia</option>
                    <option value="ET">Ethiopia</option>
                    <option value="FK">Falkland Islands (Malvinas)</option>
                    <option value="FO">Faroe Islands</option>
                    <option value="FJ">Fiji</option>
                    <option value="FI">Finland</option>
                    <option value="FR">France</option>
                    <option value="GF">French Guiana</option>
                    <option value="PF">French Polynesia</option>
                    <option value="TF">French Southern Territories</option>
                    <option value="GA">Gabon</option>
                    <option value="GM">Republic of The Gambia</option>
                    <option value="GE">Georgia</option>
                    <option value="DE">Germany</option>
                    <option value="GH">Ghana</option>
                    <option value="GI">Gibraltar</option>
                    <option value="GR">Greece</option>
                    <option value="GL">Greenland</option>
                    <option value="GD">Grenada</option>
                    <option value="GP">Guadeloupe</option>
                    <option value="GU">Guam</option>
                    <option value="GT">Guatemala</option>
                    <option value="GN">Guinea</option>
                    <option value="GW">Guinea-Bissau</option>
                    <option value="GY">Guyana</option>
                    <option value="HT">Haiti</option>
                    <option value="HM">Heard Island and McDonald Islands</option>
                    <option value="VA">Holy See (Vatican City State)</option>
                    <option value="HN">Honduras</option>
                    <option value="HK">Hong Kong</option>
                    <option value="HU">Hungary</option>
                    <option value="IS">Iceland</option>
                    <option value="IN">India</option>
                    <option value="ID">Indonesia</option>
                    <option value="IR">Islamic Republic of Iran</option>
                    <option value="IE">Ireland</option>
                    <option value="IL">Israel</option>
                    <option value="IT">Italy</option>
                    <option value="JM">Jamaica</option>
                    <option value="JP">Japan</option>
                    <option value="JO">Jordan</option>
                    <option value="KZ">Kazakhstan</option>
                    <option value="KE">Kenya</option>
                    <option value="KI">Kiribati</option>
                    <option value="KP">North Korea</option>
                    <option value="KR">South Korea</option>
                    <option value="KW">Kuwait</option>
                    <option value="KG">Kyrgyzstan</option>
                    <option value="LA">Lao People's Democratic Republic</option>
                    <option value="LV">Latvia</option>
                    <option value="LS">Lesotho</option>
                    <option value="LY">Libya</option>
                    <option value="LI">Liechtenstein</option>
                    <option value="LT">Lithuania</option>
                    <option value="LU">Luxembourg</option>
                    <option value="MO">Macao</option>
                    <option value="MG">Madagascar</option>
                    <option value="MW">Malawi</option>
                    <option value="MY">Malaysia</option>
                    <option value="MV">Maldives</option>
                    <option value="ML">Mali</option>
                    <option value="MT">Malta</option>
                    <option value="MH">Marshall Islands</option>
                    <option value="MQ">Martinique</option>
                    <option value="MR">Mauritania</option>
                    <option value="MU">Mauritius</option>
                    <option value="YT">Mayotte</option>
                    <option value="MX">Mexico</option>
                    <option value="FM">Micronesia, Federated States of</option>
                    <option value="MD">Moldova, Republic of</option>
                    <option value="MC">Monaco</option>
                    <option value="MN">Mongolia</option>
                    <option value="MS">Montserrat</option>
                    <option value="MA">Morocco</option>
                    <option value="MZ">Mozambique</option>
                    <option value="MM">Myanmar</option>
                    <option value="NA">Namibia</option>
                    <option value="NR">Nauru</option>
                    <option value="NP">Nepal</option>
                    <option value="NL">Netherlands</option>
                    <option value="NC">New Caledonia</option>
                    <option value="NZ">New Zealand</option>
                    <option value="NI">Nicaragua</option>
                    <option value="NE">Niger</option>
                    <option value="NG">Nigeria</option>
                    <option value="NU">Niue</option>
                    <option value="NF">Norfolk Island</option>
                    <option value="MK">The Republic of North Macedonia</option>
                    <option value="MP">Northern Mariana Islands</option>
                    <option value="NO">Norway</option>
                    <option value="OM">Oman</option>
                    <option value="PK">Pakistan</option>
                    <option value="PW">Palau</option>
                    <option value="PS">State of Palestine</option>
                    <option value="PA">Panama</option>
                    <option value="PG">Papua New Guinea</option>
                    <option value="PY">Paraguay</option>
                    <option value="PE">Peru</option>
                    <option value="PH">Philippines</option>
                    <option value="PN">Pitcairn</option>
                    <option value="PL">Poland</option>
                    <option value="PT">Portugal</option>
                    <option value="PR">Puerto Rico</option>
                    <option value="QA">Qatar</option>
                    <option value="RE">Reunion</option>
                    <option value="RO">Romania</option>
                    <option value="RW">Rwanda</option>
                    <option value="SH">Saint Helena</option>
                    <option value="KN">Saint Kitts and Nevis</option>
                    <option value="LC">Saint Lucia</option>
                    <option value="PM">Saint Pierre and Miquelon</option>
                    <option value="VC">Saint Vincent and the Grenadines</option>
                    <option value="WS">Samoa</option>
                    <option value="SM">San Marino</option>
                    <option value="ST">Sao Tome and Principe</option>
                    <option value="SA">Saudi Arabia</option>
                    <option value="SN">Senegal</option>
                    <option value="SC">Seychelles</option>
                    <option value="SL">Sierra Leone</option>
                    <option value="SG">Singapore</option>
                    <option value="SK">Slovakia</option>
                    <option value="SI">Slovenia</option>
                    <option value="SB">Solomon Islands</option>
                    <option value="ZA">South Africa</option>
                    <option value="GS">South Georgia and the South Sandwich Islands</option>
                    <option value="ES">Spain</option>
                    <option value="LK">Sri Lanka</option>
                    <option value="SD">Sudan</option>
                    <option value="SR">Suriname</option>
                    <option value="SJ">Svalbard and Jan Mayen</option>
                    <option value="SZ">Eswatini</option>
                    <option value="SE">Sweden</option>
                    <option value="CH">Switzerland</option>
                    <option value="SY">Syrian Arab Republic</option>
                    <option value="TW">Taiwan, Province of China</option>
                    <option value="TJ">Tajikistan</option>
                    <option value="TZ">United Republic of Tanzania</option>
                    <option value="TH">Thailand</option>
                    <option value="TL">Timor-Leste</option>
                    <option value="TG">Togo</option>
                    <option value="TK">Tokelau</option>
                    <option value="TO">Tonga</option>
                    <option value="TT">Trinidad and Tobago</option>
                    <option value="TN">Tunisia</option>
                    <option value="TR">Türkiye</option>
                    <option value="TM">Turkmenistan</option>
                    <option value="TC">Turks and Caicos Islands</option>
                    <option value="TV">Tuvalu</option>
                    <option value="UG">Uganda</option>
                    <option value="UA">Ukraine</option>
                    <option value="AE">United Arab Emirates</option>
                    <option value="GB">United Kingdom</option>
                    <option value="UM">United States Minor Outlying Islands</option>
                    <option value="UY">Uruguay</option>
                    <option value="UZ">Uzbekistan</option>
                    <option value="VU">Vanuatu</option>
                    <option value="VE">Venezuela</option>
                    <option value="VN">Vietnam</option>
                    <option value="VG">Virgin Islands, British</option>
                    <option value="VI">Virgin Islands, U.S.</option>
                    <option value="WF">Wallis and Futuna</option>
                    <option value="EH">Western Sahara</option>
                    <option value="ZM">Zambia</option>
                    <option value="AX">Åland Islands</option>
                    <option value="BQ">Bonaire, Sint Eustatius and Saba</option>
                    <option value="CW">Curaçao</option>
                    <option value="GG">Guernsey</option>
                    <option value="IM">Isle of Man</option>
                    <option value="JE">Jersey</option>
                    <option value="ME">Montenegro</option>
                    <option value="BL">Saint Barthélemy</option>
                    <option value="MF">Saint Martin (French part)</option>
                    <option value="RS">Serbia</option>
                    <option value="SX">Sint Maarten (Dutch part)</option>
                    <option value="SS">South Sudan</option>
                    <option value="XK">Kosovo</option>
                  </select></div>
              </div>
              <div class="sub-field">
                <div class="field-area offset"><input type="text" id="xf08a7d2bb0b68ef1086e_street1" placeholder="Street Address" aria-label="Street Address" value="" required="" class="street1 form-control long full-width"></div>
              </div>
              <div class="sub-field">
                <div class="field-area offset"><input type="text" id="xf08a7d2bb0b68ef1086e_street2" placeholder="Street Address 2" aria-label="Street Address 2" value="" class="street2 form-control long full-width"></div>
              </div>
              <div class="sub-field">
                <div class="field-area multi-field offset"><input type="text" id="xf08a7d2bb0b68ef1086e_city" placeholder="City" aria-label="City" value="" required="" class="city"><select id="xf08a7d2bb0b68ef1086e_region" class="state"
                    aria-label="State" required="">
                    <option selected="" value="">State</option>
                    <option value="AL">Alabama</option>
                    <option value="AK">Alaska</option>
                    <option value="AZ">Arizona</option>
                    <option value="AR">Arkansas</option>
                    <option value="CA">California</option>
                    <option value="CO">Colorado</option>
                    <option value="CT">Connecticut</option>
                    <option value="DE">Delaware</option>
                    <option value="DC">District of Columbia</option>
                    <option value="FL">Florida</option>
                    <option value="GA">Georgia</option>
                    <option value="HI">Hawaii</option>
                    <option value="ID">Idaho</option>
                    <option value="IL">Illinois</option>
                    <option value="IN">Indiana</option>
                    <option value="IA">Iowa</option>
                    <option value="KS">Kansas</option>
                    <option value="KY">Kentucky</option>
                    <option value="LA">Louisiana</option>
                    <option value="ME">Maine</option>
                    <option value="MD">Maryland</option>
                    <option value="MA">Massachusetts</option>
                    <option value="MI">Michigan</option>
                    <option value="MN">Minnesota</option>
                    <option value="MS">Mississippi</option>
                    <option value="MO">Missouri</option>
                    <option value="MT">Montana</option>
                    <option value="NE">Nebraska</option>
                    <option value="NV">Nevada</option>
                    <option value="NH">New Hampshire</option>
                    <option value="NJ">New Jersey</option>
                    <option value="NM">New Mexico</option>
                    <option value="NY">New York</option>
                    <option value="NC">North Carolina</option>
                    <option value="ND">North Dakota</option>
                    <option value="OH">Ohio</option>
                    <option value="OK">Oklahoma</option>
                    <option value="OR">Oregon</option>
                    <option value="PA">Pennsylvania</option>
                    <option value="PR">Puerto Rico</option>
                    <option value="RI">Rhode Island</option>
                    <option value="SC">South Carolina</option>
                    <option value="SD">South Dakota</option>
                    <option value="TN">Tennessee</option>
                    <option value="TX">Texas</option>
                    <option value="UT">Utah</option>
                    <option value="VT">Vermont</option>
                    <option value="VA">Virginia</option>
                    <option value="WA">Washington</option>
                    <option value="WV">West Virginia</option>
                    <option value="WI">Wisconsin</option>
                    <option value="WY">Wyoming</option>
                    <option value="AA">AA</option>
                    <option value="AE">AE</option>
                    <option value="AP">AP</option>
                  </select><input type="text" id="xf08a7d2bb0b68ef1086e_postalCode" placeholder="ZIP Code" aria-label="ZIP Code" value="" required="" class="zip postalCode"></div>
              </div>
            </div>
          </div>
          <div class="field-phone registrant-field field-registrant-7">
            <div class="phone"><label for="x4a7c70e385d8b2353747">Phone Number<span class="required-field" aria-hidden="true">*</span></label>
              <div class="field-area multi-field"><input type="tel" id="x4a7c70e385d8b2353747" autocomplete="tel" value="" required="" class=""></div>
            </div>
          </div>
          <div class="field-email registrant-field field-registrant-8">
            <div class="email"><label for="x07fa92562391f8c51dbe">Email<span class="required-field" aria-hidden="true">*</span></label>
              <div class="field-area"><input type="email" id="x07fa92562391f8c51dbe" placeholder="Email Address" value="" required="" class="long"></div>
            </div>
          </div>
          <div class="field-lineBreak registrant-field field-registrant-9">
            <hr class="dotted line-break" style="border-width:1px">
          </div>
          <div class="field-multipleChoice registrant-field field-registrant-10">
            <div class="multipleChoice"><label for="xc73489eeb1aeecc9d05b" class="must-show">How did you hear about our Modern Furnace Brazing School?<span class="required-field" aria-hidden="true">*</span></label>
              <div class="field-area"><select id="xc73489eeb1aeecc9d05b" required="" class="">
                  <option selected="" value="">(Choose One)</option>
                  <option value="83908eca-ffce-5cdb-974e-7a6d6873aaa5">From a previous school attendee at my company</option>
                  <option value="b137542b-14bb-5e6c-823f-a2c3cc34d06d">From a Wall Colmonoy sales person</option>
                  <option value="f4506a93-aeec-5a46-a180-fb2c80e518ab">Through technical discussions with Wall Colmonoy</option>
                  <option value="0bbe7fd6-5292-53c2-804a-c47475cb0c4f">From an online posting</option>
                  <option value="191c48ad-f8fb-51c3-a866-9ba4a17051c3">My boss recommended that I attend</option>
                  <option value="a887743a-4514-579a-90f4-ed41ad1c4adf">From e-mail I received from Wall Colmonoy</option>
                  <option value="c39fd4e7-9d91-5e25-a756-691c50a136e0">From the Wall Colmonoy website</option>
                  <option value="3b808f36-f635-5bc9-9529-ec5b25bdfc26">Other</option>
                </select></div>
            </div>
          </div>
          <div class="field-textField registrant-field field-registrant-11">
            <div class="textField"><label for="x33a08b14e5dd276a8c66">Specify who / where you heard about our Modern Furnace Brazing School</label>
              <div class="field-area multi-field"><input type="text" id="x33a08b14e5dd276a8c66" value="" class=""></div>
            </div>
          </div>
          <div class="field-lineBreak registrant-field field-registrant-12">
            <hr class="solid line-break" style="border-width:1px">
          </div>
        </div>
      </div>
    </div>
    <div class="registrant-field">
      <div class="form-width label-align">
        <div class="add-registrant"><button type="button" class="btn-primary btn-lg">Add Another <!-- -->Registrant</button>
          <hr>
        </div>
      </div>
    </div>
    <div class="field-summary registrant-field field-registrant-1"></div>
  </section>
  <section class="billing" id="billing-section">
    <div class="field-textHeading registrant-field">
      <div class="label-align form-width">
        <h2 class="text-center">Billing Information</h2>
      </div>
    </div>
    <div class="field-copyRegInfo registrant-field"></div>
    <div class="field-name registrant-field">
      <div class="name sub-field"><label for="xbf7b3b596f168357bcab_firstName">Name<span class="required-field" aria-hidden="true">*</span></label>
        <div class="field-area multi-field"><input type="text" id="xbf7b3b596f168357bcab_firstName" placeholder="First" aria-label="First Name" value="" required="" class="first"><input type="text" id="xbf7b3b596f168357bcab_lastName"
            placeholder="Last" aria-label="Last Name" value="" required="" class="last"></div>
      </div>
    </div>
    <div class="registrant-field">
      <div class="payment-method"><label>Payment Method</label>
        <div class="field-area">
          <ul class="list-radio">
            <li><label class="must-show"><input type="radio" id="x120f5677650e4599ac3d_pm_CC" value="CC" checked="" name="paymentMethod" required=""> <!-- -->Credit Card</label></li>
            <li><label class="must-show"><input type="radio" id="x120f5677650e4599ac3d_pm_PO" value="PO" name="paymentMethod" required=""> <!-- -->Check</label></li>
          </ul>
        </div>
      </div>
    </div>
    <div class="registrant-field">
      <div class="credit-card-billing sub-field"><label for="x120f5677650e4599ac3d_cardNumber">Credit Card<span class="required-field" aria-hidden="true">*</span></label>
        <div class="field-area"><input type="text" inputmode="numeric" name="cardNumber" id="x120f5677650e4599ac3d_cardNumber" placeholder="Card Number" required="" class="cc-number _lr-hide" value="">
          <ul class="credit-cards">
            <li class="visa">Visa</li>
            <li class="mastercard">Mastercard</li>
            <li class="amex">American Express</li>
            <li class="discover">Discover</li>
          </ul>
        </div>
      </div>
      <div class="exp-date">
        <div class="field-area multi-field offset"><select name="expMonth" class="date-month" aria-label="Credit Card Expiration Month" required="">
            <option selected="" value="">Month</option>
            <option value="1">01</option>
            <option value="2">02</option>
            <option value="3">03</option>
            <option value="4">04</option>
            <option value="5">05</option>
            <option value="6">06</option>
            <option value="7">07</option>
            <option value="8">08</option>
            <option value="9">09</option>
            <option value="10">10</option>
            <option value="11">11</option>
            <option value="12">12</option>
          </select><select name="expYear" class="date-year" aria-label="Credit Card Expiration Year" required="">
            <option selected="" value="">Year</option>
            <option>2023</option>
            <option>2024</option>
            <option>2025</option>
            <option>2026</option>
            <option>2027</option>
            <option>2028</option>
            <option>2029</option>
            <option>2030</option>
            <option>2031</option>
            <option>2032</option>
            <option>2033</option>
            <option>2034</option>
            <option>2035</option>
            <option>2036</option>
            <option>2037</option>
            <option>2038</option>
            <option>2039</option>
            <option>2040</option>
            <option>2041</option>
            <option>2042</option>
          </select><input type="text" name="cvv" placeholder="CVV" aria-label="CVV" inputmode="numeric" maxlength="4" size="4" value="" class="cc-cvv _lr-hide"></div>
      </div>
    </div>
    <div class="field-address registrant-field">
      <div class="address holds-address">
        <div class="sub-field"><label for="x928997ca260e8b48167d_country">Address<span class="required-field" aria-hidden="true">*</span></label>
          <div class="field-area"><select id="x928997ca260e8b48167d_country" class="country" aria-label="Country" required="">
              <option value="US">United States of America</option>
              <option value="CA">Canada</option>
              <option value="" disabled="">----------------------</option>
              <option value="AF">Afghanistan</option>
              <option value="AL">Albania</option>
              <option value="DZ">Algeria</option>
              <option value="AS">American Samoa</option>
              <option value="AD">Andorra</option>
              <option value="AO">Angola</option>
              <option value="AI">Anguilla</option>
              <option value="AQ">Antarctica</option>
              <option value="AG">Antigua and Barbuda</option>
              <option value="AR">Argentina</option>
              <option value="AM">Armenia</option>
              <option value="AW">Aruba</option>
              <option value="AU">Australia</option>
              <option value="AT">Austria</option>
              <option value="AZ">Azerbaijan</option>
              <option value="BS">Bahamas</option>
              <option value="BH">Bahrain</option>
              <option value="BD">Bangladesh</option>
              <option value="BB">Barbados</option>
              <option value="BE">Belgium</option>
              <option value="BZ">Belize</option>
              <option value="BJ">Benin</option>
              <option value="BM">Bermuda</option>
              <option value="BT">Bhutan</option>
              <option value="BO">Bolivia</option>
              <option value="BA">Bosnia and Herzegovina</option>
              <option value="BW">Botswana</option>
              <option value="BV">Bouvet Island</option>
              <option value="BR">Brazil</option>
              <option value="IO">British Indian Ocean Territory</option>
              <option value="BN">Brunei Darussalam</option>
              <option value="BG">Bulgaria</option>
              <option value="BF">Burkina Faso</option>
              <option value="KH">Cambodia</option>
              <option value="CM">Cameroon</option>
              <option value="CV">Cape Verde</option>
              <option value="KY">Cayman Islands</option>
              <option value="TD">Chad</option>
              <option value="CL">Chile</option>
              <option value="CN">People's Republic of China</option>
              <option value="CX">Christmas Island</option>
              <option value="CC">Cocos (Keeling) Islands</option>
              <option value="CO">Colombia</option>
              <option value="KM">Comoros</option>
              <option value="CK">Cook Islands</option>
              <option value="CR">Costa Rica</option>
              <option value="CI">Cote D'Ivoire</option>
              <option value="HR">Croatia</option>
              <option value="CU">Cuba</option>
              <option value="CY">Cyprus</option>
              <option value="CZ">Czech Republic</option>
              <option value="DK">Denmark</option>
              <option value="DJ">Djibouti</option>
              <option value="DM">Dominica</option>
              <option value="DO">Dominican Republic</option>
              <option value="EC">Ecuador</option>
              <option value="EG">Egypt</option>
              <option value="SV">El Salvador</option>
              <option value="GQ">Equatorial Guinea</option>
              <option value="ER">Eritrea</option>
              <option value="EE">Estonia</option>
              <option value="ET">Ethiopia</option>
              <option value="FK">Falkland Islands (Malvinas)</option>
              <option value="FO">Faroe Islands</option>
              <option value="FJ">Fiji</option>
              <option value="FI">Finland</option>
              <option value="FR">France</option>
              <option value="GF">French Guiana</option>
              <option value="PF">French Polynesia</option>
              <option value="TF">French Southern Territories</option>
              <option value="GA">Gabon</option>
              <option value="GM">Republic of The Gambia</option>
              <option value="GE">Georgia</option>
              <option value="DE">Germany</option>
              <option value="GH">Ghana</option>
              <option value="GI">Gibraltar</option>
              <option value="GR">Greece</option>
              <option value="GL">Greenland</option>
              <option value="GD">Grenada</option>
              <option value="GP">Guadeloupe</option>
              <option value="GU">Guam</option>
              <option value="GT">Guatemala</option>
              <option value="GN">Guinea</option>
              <option value="GW">Guinea-Bissau</option>
              <option value="GY">Guyana</option>
              <option value="HT">Haiti</option>
              <option value="HM">Heard Island and McDonald Islands</option>
              <option value="VA">Holy See (Vatican City State)</option>
              <option value="HN">Honduras</option>
              <option value="HK">Hong Kong</option>
              <option value="HU">Hungary</option>
              <option value="IS">Iceland</option>
              <option value="IN">India</option>
              <option value="ID">Indonesia</option>
              <option value="IR">Islamic Republic of Iran</option>
              <option value="IE">Ireland</option>
              <option value="IL">Israel</option>
              <option value="IT">Italy</option>
              <option value="JM">Jamaica</option>
              <option value="JP">Japan</option>
              <option value="JO">Jordan</option>
              <option value="KZ">Kazakhstan</option>
              <option value="KE">Kenya</option>
              <option value="KI">Kiribati</option>
              <option value="KP">North Korea</option>
              <option value="KR">South Korea</option>
              <option value="KW">Kuwait</option>
              <option value="KG">Kyrgyzstan</option>
              <option value="LA">Lao People's Democratic Republic</option>
              <option value="LV">Latvia</option>
              <option value="LS">Lesotho</option>
              <option value="LY">Libya</option>
              <option value="LI">Liechtenstein</option>
              <option value="LT">Lithuania</option>
              <option value="LU">Luxembourg</option>
              <option value="MO">Macao</option>
              <option value="MG">Madagascar</option>
              <option value="MW">Malawi</option>
              <option value="MY">Malaysia</option>
              <option value="MV">Maldives</option>
              <option value="ML">Mali</option>
              <option value="MT">Malta</option>
              <option value="MH">Marshall Islands</option>
              <option value="MQ">Martinique</option>
              <option value="MR">Mauritania</option>
              <option value="MU">Mauritius</option>
              <option value="YT">Mayotte</option>
              <option value="MX">Mexico</option>
              <option value="FM">Micronesia, Federated States of</option>
              <option value="MD">Moldova, Republic of</option>
              <option value="MC">Monaco</option>
              <option value="MN">Mongolia</option>
              <option value="MS">Montserrat</option>
              <option value="MA">Morocco</option>
              <option value="MZ">Mozambique</option>
              <option value="MM">Myanmar</option>
              <option value="NA">Namibia</option>
              <option value="NR">Nauru</option>
              <option value="NP">Nepal</option>
              <option value="NL">Netherlands</option>
              <option value="NC">New Caledonia</option>
              <option value="NZ">New Zealand</option>
              <option value="NI">Nicaragua</option>
              <option value="NE">Niger</option>
              <option value="NG">Nigeria</option>
              <option value="NU">Niue</option>
              <option value="NF">Norfolk Island</option>
              <option value="MK">The Republic of North Macedonia</option>
              <option value="MP">Northern Mariana Islands</option>
              <option value="NO">Norway</option>
              <option value="OM">Oman</option>
              <option value="PK">Pakistan</option>
              <option value="PW">Palau</option>
              <option value="PS">State of Palestine</option>
              <option value="PA">Panama</option>
              <option value="PG">Papua New Guinea</option>
              <option value="PY">Paraguay</option>
              <option value="PE">Peru</option>
              <option value="PH">Philippines</option>
              <option value="PN">Pitcairn</option>
              <option value="PL">Poland</option>
              <option value="PT">Portugal</option>
              <option value="PR">Puerto Rico</option>
              <option value="QA">Qatar</option>
              <option value="RE">Reunion</option>
              <option value="RO">Romania</option>
              <option value="RW">Rwanda</option>
              <option value="SH">Saint Helena</option>
              <option value="KN">Saint Kitts and Nevis</option>
              <option value="LC">Saint Lucia</option>
              <option value="PM">Saint Pierre and Miquelon</option>
              <option value="VC">Saint Vincent and the Grenadines</option>
              <option value="WS">Samoa</option>
              <option value="SM">San Marino</option>
              <option value="ST">Sao Tome and Principe</option>
              <option value="SA">Saudi Arabia</option>
              <option value="SN">Senegal</option>
              <option value="SC">Seychelles</option>
              <option value="SL">Sierra Leone</option>
              <option value="SG">Singapore</option>
              <option value="SK">Slovakia</option>
              <option value="SI">Slovenia</option>
              <option value="SB">Solomon Islands</option>
              <option value="ZA">South Africa</option>
              <option value="GS">South Georgia and the South Sandwich Islands</option>
              <option value="ES">Spain</option>
              <option value="LK">Sri Lanka</option>
              <option value="SD">Sudan</option>
              <option value="SR">Suriname</option>
              <option value="SJ">Svalbard and Jan Mayen</option>
              <option value="SZ">Eswatini</option>
              <option value="SE">Sweden</option>
              <option value="CH">Switzerland</option>
              <option value="SY">Syrian Arab Republic</option>
              <option value="TW">Taiwan, Province of China</option>
              <option value="TJ">Tajikistan</option>
              <option value="TZ">United Republic of Tanzania</option>
              <option value="TH">Thailand</option>
              <option value="TL">Timor-Leste</option>
              <option value="TG">Togo</option>
              <option value="TK">Tokelau</option>
              <option value="TO">Tonga</option>
              <option value="TT">Trinidad and Tobago</option>
              <option value="TN">Tunisia</option>
              <option value="TR">Türkiye</option>
              <option value="TM">Turkmenistan</option>
              <option value="TC">Turks and Caicos Islands</option>
              <option value="TV">Tuvalu</option>
              <option value="UG">Uganda</option>
              <option value="UA">Ukraine</option>
              <option value="AE">United Arab Emirates</option>
              <option value="GB">United Kingdom</option>
              <option value="UM">United States Minor Outlying Islands</option>
              <option value="UY">Uruguay</option>
              <option value="UZ">Uzbekistan</option>
              <option value="VU">Vanuatu</option>
              <option value="VE">Venezuela</option>
              <option value="VN">Vietnam</option>
              <option value="VG">Virgin Islands, British</option>
              <option value="VI">Virgin Islands, U.S.</option>
              <option value="WF">Wallis and Futuna</option>
              <option value="EH">Western Sahara</option>
              <option value="ZM">Zambia</option>
              <option value="AX">Åland Islands</option>
              <option value="BQ">Bonaire, Sint Eustatius and Saba</option>
              <option value="CW">Curaçao</option>
              <option value="GG">Guernsey</option>
              <option value="IM">Isle of Man</option>
              <option value="JE">Jersey</option>
              <option value="ME">Montenegro</option>
              <option value="BL">Saint Barthélemy</option>
              <option value="MF">Saint Martin (French part)</option>
              <option value="RS">Serbia</option>
              <option value="SX">Sint Maarten (Dutch part)</option>
              <option value="SS">South Sudan</option>
              <option value="XK">Kosovo</option>
            </select></div>
        </div>
        <div class="sub-field">
          <div class="field-area offset"><input type="text" id="x928997ca260e8b48167d_street1" placeholder="Street Address" aria-label="Street Address" value="" required="" class="street1 form-control long full-width"></div>
        </div>
        <div class="sub-field">
          <div class="field-area multi-field offset"><input type="text" id="x928997ca260e8b48167d_city" placeholder="City" aria-label="City" value="" required="" class="city"><select id="x928997ca260e8b48167d_region" class="state" aria-label="State"
              required="">
              <option selected="" value="">State</option>
              <option value="AL">Alabama</option>
              <option value="AK">Alaska</option>
              <option value="AZ">Arizona</option>
              <option value="AR">Arkansas</option>
              <option value="CA">California</option>
              <option value="CO">Colorado</option>
              <option value="CT">Connecticut</option>
              <option value="DE">Delaware</option>
              <option value="DC">District of Columbia</option>
              <option value="FL">Florida</option>
              <option value="GA">Georgia</option>
              <option value="HI">Hawaii</option>
              <option value="ID">Idaho</option>
              <option value="IL">Illinois</option>
              <option value="IN">Indiana</option>
              <option value="IA">Iowa</option>
              <option value="KS">Kansas</option>
              <option value="KY">Kentucky</option>
              <option value="LA">Louisiana</option>
              <option value="ME">Maine</option>
              <option value="MD">Maryland</option>
              <option value="MA">Massachusetts</option>
              <option value="MI">Michigan</option>
              <option value="MN">Minnesota</option>
              <option value="MS">Mississippi</option>
              <option value="MO">Missouri</option>
              <option value="MT">Montana</option>
              <option value="NE">Nebraska</option>
              <option value="NV">Nevada</option>
              <option value="NH">New Hampshire</option>
              <option value="NJ">New Jersey</option>
              <option value="NM">New Mexico</option>
              <option value="NY">New York</option>
              <option value="NC">North Carolina</option>
              <option value="ND">North Dakota</option>
              <option value="OH">Ohio</option>
              <option value="OK">Oklahoma</option>
              <option value="OR">Oregon</option>
              <option value="PA">Pennsylvania</option>
              <option value="PR">Puerto Rico</option>
              <option value="RI">Rhode Island</option>
              <option value="SC">South Carolina</option>
              <option value="SD">South Dakota</option>
              <option value="TN">Tennessee</option>
              <option value="TX">Texas</option>
              <option value="UT">Utah</option>
              <option value="VT">Vermont</option>
              <option value="VA">Virginia</option>
              <option value="WA">Washington</option>
              <option value="WV">West Virginia</option>
              <option value="WI">Wisconsin</option>
              <option value="WY">Wyoming</option>
              <option value="AA">AA</option>
              <option value="AE">AE</option>
              <option value="AP">AP</option>
            </select><input type="text" id="x928997ca260e8b48167d_postalCode" placeholder="ZIP Code" aria-label="ZIP Code" value="" required="" class="zip postalCode"></div>
        </div>
      </div>
    </div>
    <div class="field-email registrant-field">
      <div class="email"><label for="xca4c19f3effd5741b848">Email<span class="required-field" aria-hidden="true">*</span></label>
        <div class="field-area"><input type="email" id="xca4c19f3effd5741b848" placeholder="Email Address" value="" required="" class="long"></div>
      </div>
    </div>
  </section>
  <div class="submit-row"><button type="submit" class="next btn btn-primary"><i class="fa fa-spinner fa-spin"></i> <!-- -->Submit</button></div>
  <div class="field-textParagraph footer-field">
    <div class="form-width fr-view label-align">
      <p style="text-align:center">This<!-- --> <!-- -->page<!-- --> <!-- -->is<!-- --> <!-- -->secured<!-- --> <!-- -->with<!-- --> <!-- -->256<!-- --> <!-- -->bit<!-- --> <!-- -->encryption</p>
    </div>
  </div>
</form>

Text Content

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USA MODERN FURNACE BRAZING SCHOOL

October 24-26, 2023

Secure Online Registration

First Person Attendee Price: $2,500 | Additional attendees from the same
location are $2,400

Any cancellations received within two weeks prior to the course will be subject
to a $600.00 cancellation fee for each attendee

Payment is due in full by start of session

Location:
Wall Colmonoy Aerobraze
Brazing Engineering Center
940 Redna Terrace
Cincinnati, OH 45215

Contact brazingschool@wallcolmonoy.com if you have any questions


Registration*
 * Full Registration ($2,500.00) [16 remaining]

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Name*

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Company

Address*
United States of
AmericaCanada----------------------AfghanistanAlbaniaAlgeriaAmerican
SamoaAndorraAngolaAnguillaAntarcticaAntigua and
BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelgiumBelizeBeninBermudaBhutanBoliviaBosnia
and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei
DarussalamBulgariaBurkina FasoCambodiaCameroonCape VerdeCayman
IslandsChadChilePeople's Republic of ChinaChristmas IslandCocos (Keeling)
IslandsColombiaComorosCook IslandsCosta RicaCote D'IvoireCroatiaCubaCyprusCzech
RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl
SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe
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RepublicLatviaLesothoLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States
ofMoldova, Republic
ofMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew
CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandThe Republic of North
MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauState of
PalestinePanamaPapua New
GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto
RicoQatarReunionRomaniaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint
Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and
PrincipeSaudi ArabiaSenegalSeychellesSierra
LeoneSingaporeSlovakiaSloveniaSolomon IslandsSouth AfricaSouth Georgia and the
South Sandwich IslandsSpainSri LankaSudanSurinameSvalbard and Jan
MayenEswatiniSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of
ChinaTajikistanUnited Republic of
TanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and
TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos
IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States Minor
Outlying IslandsUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands,
BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaZambiaÅland
IslandsBonaire, Sint Eustatius and SabaCuraçaoGuernseyIsle of
ManJerseyMontenegroSaint BarthélemySaint Martin (French part)SerbiaSint Maarten
(Dutch part)South SudanKosovo


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United States of
AmericaCanada----------------------AfghanistanAlbaniaAlgeriaAmerican
SamoaAndorraAngolaAnguillaAntarcticaAntigua and
BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelgiumBelizeBeninBermudaBhutanBoliviaBosnia
and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei
DarussalamBulgariaBurkina FasoCambodiaCameroonCape VerdeCayman
IslandsChadChilePeople's Republic of ChinaChristmas IslandCocos (Keeling)
IslandsColombiaComorosCook IslandsCosta RicaCote D'IvoireCroatiaCubaCyprusCzech
RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl
SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe
IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern
TerritoriesGabonRepublic of The
GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard
Island and McDonald IslandsHoly See (Vatican City State)HondurasHong
KongHungaryIcelandIndiaIndonesiaIslamic Republic of
IranIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth
KoreaKuwaitKyrgyzstanLao People's Democratic
RepublicLatviaLesothoLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States
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