Your Name (required)
Your Email (required)
Todays Date (required)
Date of Course(required)
Date of Birth
Health and Safety Coordinator
Accounts Payable Contact
Years of Experience in hazardous materials
Comments or Questions?
By checking this box "I Accept" all billing and payment terms listed below.
*Terms: Pre Payment is required. Certificates will not be issued until payment is received in full
Reservation Policy: Cancellations with more than 24 hours notice will allow the scheduled attendee to attend the next course. No notice will forfeit the course fees in full.
The attendee acting as an agent for the company accepts these terms.