Designated Employer Representative Seminar - Colorado Motor Carriers Association

8:30am to 4:30pm
CMCA Offices * 4060 Elati Street * Denver, CO 80216

This Seminar Covers:

Responsibilities of the Designated Employer Representative for motor carrier companies. You are required by DOT to have a DER in your company. Applicable for Safety Managers and Administration.

Please Choose Which Seminar You Would Like to Attend (8:30am-4:30pm):*

Company Name*

Number of Attendees*

**NOTE** Please enter the attendees names as you want them to appear on the completion certificates.

Name of Attendee #1*

Name of Attendee #2*

Name of Attendee #3*

Email*

(used for sending a registration confirmation and receipt (if applicable))

Phone*

Registration Type*

(pricing is per attendee and is subject to verification by CMCA Member Services)

Member Registration - $300
Non-Member Registration - $425
New Member Certificate

Invoice#

(Admins Only)

Admin Notes

Payment Method*

(ONLY members can pay by check)

Credit Card
Check

Please complete the fields below, submit this registration form, and send your check to: Colorado Motor Carriers Association, 4060 Elati St, Denver CO 80216

Billing Address*

City*

State*

Zip Code*

Total

$0.00

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Cancellation Policy:

Refunds, less a $30 administrative fee, will be given for cancellations made 5 business days prior to the class date. No refunds for no-shows or late cancellations. Substitute attendees may be sent.

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