Waste Site Worker Training and Other Safety Services For Milwaukee Area

Today's Date*

Date of Course*

Name*

Date of Birth*

Company Name*

Health & Safety Coordinator*

Company Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Telephone*

Fax

Email Address*

Professional License number for Continuing Education Credit*

Fees: $575 per person. $550 per person when 3 or more are registered at the same time. Terms: Payment is due prior to the first day. A late fee of 1.5 % per month shall be accrued on all outstanding invoices. 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. Failure to attend with out notice will forfeit the course fees in full. The attendee acting as an agent for the company accepts these terms.*

Agree

Digital Signature*

By signing your full name, you are agreeing to the terms above.

Number Of People*

Please enter a number from 1 to 30.

Price

Bulk Discount

Price: $0.00

Total

$0.00

CAPTCHA

After filling out this form you will be redirected to paypal where you can input your payment.

Comments

This field is for validation purposes and should be left unchanged.

Contact Us Today
For More Information

414-427-9844

Services

We provide comprehensive, cost effective solutions to meet your business’s specific needs