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40 Hour Waste Site Worker Initial Training in accordance with 29 CFR 1910.120(e) Registration
Today's Date
*
MM slash DD slash YYYY
Date of Course
*
MM slash DD slash YYYY
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.
Name
This field is for validation purposes and should be left unchanged.
×
8 Hour Hazardous Waste Site Worker Annual Refresher Registration
Today's Date
*
MM slash DD slash YYYY
Date of Course
*
MM slash DD slash YYYY
Name
*
Date of Birth
*
Company Name
*
Health & Safety Coordinator
*
Company Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone
*
Fax
Email
*
Occupation
*
Years of experience in hazardous materials
*
Date and location of original 40 hour training
*
Professional License number for Continuing Education Credit
*
Fees: $165 per person, $150 each when 3 or more are registered at the same time. 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.
*
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.
Phone
This field is for validation purposes and should be left unchanged.
×
8 Hour Confined Space Entry Training Registration
Today's Date
*
MM slash DD slash YYYY
Date of Course
*
MM slash DD slash YYYY
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
*
Terms: Payment is due prior to the first day of class 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.
*
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
Total
$0.00
CAPTCHA
After filling out this form you will be redirected to paypal where you can input your payment.
Phone
This field is for validation purposes and should be left unchanged.
×