Board Member Training
 Registration Form

To take the training program, fill out and submit the following registration form. CLEAR now accepts payment online. Click the PayPal logo at the bottom of this page for further details. CLEAR also accepts checks payable to:

CLEAR (Fed. ID No. 61-1267676)
403 Marquis Avenue
Suite 100
Lexington, KY 40502
(859) 269-1601

Name:

Title:

Agency:

Address (include city, state and zip):

Phone:

Fax:

E-mail:

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Payment: I have paid online I am sending a check