AGSC Certification Exam Registration

AGSC Certification in Baltimore
Thursday, October 9, 2014
8:00 a.m. - 10:00 a.m. (Technician Training)
2:00 p.m. - 3:30 p.m. (Certification Exam)
Baltimore Convention Center
Baltimore, Maryland

Space is limited. Sign up in advance.

First Name: Last Name: Company:
Address 1: Address 2:  
City: State/Province: Postal Code:
Email: Phone: Fax:
AGSC Registered Company - FREE Non-AGSC Registered Company - $49*
* If your company applies on-site for AGSC registration, your $49 payment will be credited towards the registration fee.

By submitting this form I am stating that I meet the necessary testing requirements and agree with all the applicable terms and conditions. I also agree that the Auto Glass Safety Council may contact me in the future via phone, fax (if provided by applicant) or email.

Cancellations & Refunds:
All requests for cancellation and/or refunds must be received in writing by August 29, 2014, and are subject to a $25 administration fee. No refunds will be given after this date.