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2. First Name
3. Last Name
5. Company*
   -- Select One --Hoffman BrothersPavingJ RanckPK ContractingTrucking
6. Training Certification*

   By checking the box below, I certify that I have reviewed the entire "TWY C Phase 3 Reconstruction Contractor Training Packet" in it's entirety.

   1. I certify.
8. Confirm Understanding*

   I understand the information presented to me in the TWY C Phase 3 Reconstruction Contractor Training Packet and if I have any questions I may reach out to Airport Operations at 269-966-3528 to obtain clarifications.

   1. Yes
10. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
12. Electronic Signature*
    Please type your first name, middle initial, and last name in the Electronic Signature field.
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14. 1. Receive an email copy of this form.
15. Email address

    This field is not part of the form submission.

16. Submit

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