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Representative Registration
Representative Registration
MesaHotLineAdmin
2026-01-20T14:07:17-07:00
Mesa Hotline School Representative / Instructor Registration
Please Fill out and Submit this for the 2026 Mesa Hotline School
Company Information
Company Name
*
Name
*
Company Address
*
City
*
State
*
Zip Code
*
Company Phone
*
Email
*
Attendee Information
Attendee Name
*
Attendee Phone
*
Attendee Email
*
What position will you be joining us for?
*
Classroom Instructor
Field Instructor
Company Rep
Vendor
Field Committee
Safety Committee
Board Member
Which class are you registering to teach?
*
Aerial Gloving 1
Aerial Gloving 2
First Year Hotsticking
Advanced Hotsticking
Hot Tension Stringing
Underground Class - Installations
Cable Testing & Fault Locating
Switching
Special Apparatus
Transmission
Not Applicable
Which MHLS week are you registering to attend?
*
Week 1 - May 4-7, 2026
Week 2 - May 11-14, 2026
Both
Not Applicable
Questions or Comments
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