Maintenance School Registration Form To reserve a spot, please complete this form.Company Name: Address: City, State, Zip: Phone: Have you previously attended an Intoximeters maintenance school: Yes No If yes, how many in the past 5 years? Class Options: DMT Maintenance (November 17-19, 2026): $990.00 DMT **Renewal (November 18-19, 2026) EC/IR II Maintenance (February 9-11, 2027): $990.00 EC/IR II **Renewal (February 10-11, 2027) DMT Maintenance (May 11-13, 2027): $990.00 DMT **Renewal (May 12-13, 2027) EC/IR II Maintenance (August 3-5, 2027): $990.00 EC/IR II **Renewal (August 4-5, 2027) DMT Maintenance (November 9-11, 2027): $990.00 DMT **Renewal (November 10-11, 2027) For EC/IR II classes, add 1/2 day for handheld instruments: $290.00 Alco-Sensor VXL Alco-Sensor FST Below fill out name and email of each student:Name: Phone: Email: Name: Phone: Email: Name: Phone: Email: **Maintenance Renewal Certificate – Intox DMT and Intox EC/IR II: The renewal options are for technicians completing the desktop maintenance course. To qualify, the student must have successfully completed 3 or more Maintenance Trainings within the last 5 years.To help us meet your specific training needs, please respond to the following questions, include any comments you may have:1. What will be your areas of responsibility in maintaining and repairing these devices? 2. Do you have specific training needs? 3. Do you maintain existing instruments? If so, what are they? A confirmation of registration will be emailed to the attention of the student(s). Classes are filled on first come, first serve basis by receipt of a completed registration form. Course payment includes appropriate student manuals, training materials, and lunch. A certificate of completion will be mailed to the student upon successful completion of the Maintenance School course. Please note that the recommended hotel no longer offers a shuttle to our facility. Class dates are subject to change or cancellation based on low enrollment. Intoximeters reserves the right to cancel any class. In the event of a cancellation, students will be notified immediately. Paid class fees will be refunded or applied to a future class at the customer’s request.