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Training Program Registration Form

Thank you for choosing PetroSafe to meet your training needs. To register, please complete the form below with all required information and indicate the total number of seats that you wish to reserve for this program.

Payment may be made using either your Visa or MasterCard or you may pay by company check (indicate the preferred method of payment before submitting). Company checks must be made payable to PetroSafe Technologies, Inc. and must be received at least 15 days prior to the scheduled start date of the program (unless other arrangements are made with PetroSafe).

If you have any questions or any difficulty in completing this form, please contact our training department toll free at 866-642-8318.

Class Title INDUSTRIAL LEADER / OFFICER DEVELOPMENT (8-hours)
Course Number 093022-3
Location WILLIAMS FIRE AND HAZARD CONTROL - PORT ARTHUR, TX
Start Date September 30th, 2022
End Date September 30th, 2022
Cost $ 400.00
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Your Last Name *
Company *
Job Title *
Email *
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City/State * *
Zip *
 

* Please indicate in the box below the total number of seats you are reserving for this program:

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A full refund of prepaid fees will only be provided by PetroSafe when a scheduled training program is cancelled or when PetroSafe is notified in writing by fax or email of a participants cancellation at least (15) days prior to the scheduled start date of the program.