Special-Req

INDUSTRIAL SAFETY TRAINING COUNCIL
SPECIALIZED TRAINING CLASS REQUEST AND AUTHORIZATION FORM

Download PDF

All information must be provided before the class will be scheduled.

Company Name:

Date:

Client ID:

PO #:

Street Address:

City:

State:

Zip: (Format 77702)

Primary Phone Number: (Format 555-555-5555):

Fax: (Format 555-555-5555):

eMail Address:

Date you would like training to take place:

Classes Requested:

Class Cost: per participant + $5.00 Social Security verification

Number of participants attending:

ISTC Location:

3166 Decker Dr., Baytown, TX 77520

3749 Hwy 69 North, Beaumont, TX 77705

Please use the Specialized On-Site Class Request form if on-site training is needed.

All special requested classes require a minimum class size. Check your class for the minimum requirements.

All non-subscribers will be required to pay for training prior to completion of class.

A minimum of 48 hours is required for all cancellations. All cancellations with less than 48 hours or no-shows will be billed full price. Substitutions are allowed.

Approved

Company Representative

Electronic Signature:

International Safety Training Council

INDUSTRIAL SAFETY TRAINING COUNCIL
SPECIALIZED TRAINING CLASS REQUEST AND AUTHORIZATION FORM

Training Facilities

Background Check

Occupational Services

INDUSTRIAL SAFETY TRAINING COUNCILSPECIALIZED TRAINING CLASS REQUEST AND AUTHORIZATION FORM

Training Facilities

Background Check

Occupational Services

INDUSTRIAL SAFETY TRAINING COUNCIL
SPECIALIZED TRAINING CLASS REQUEST AND AUTHORIZATION FORM