Safety Training Fees (Group Discounts for students from the same organization)

1 - 3 people...................................................................................................$125.00/person
4 - 6 people...................................................................................................$100.00/person
7 or more ......................................................................................................$  90.00/person
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Schmidt Industrial Truck / (262) 632 7900 / training@schmidtlift.com

SAFETY TRAINING REGISTRATION FORM

Available Dates: Classes are currently being scheduled. Check back soon for class schedules

Type of Class & Type of Training
Date of Class (choose from list above):
Type of Class (check one): Operator Training "Train the Trainer"
(not currently available - contact us)
Type of Equipment (check one): Forklifts Aerial Work Platforms
(not currently available - contact us)

Names of Attendees:

(If less then 10 attendees, leave the form fields as "n/a")
Attendee #1
Attendee #2
Attendee #3
Attendee #4
Attendee #5
Attendee #6
Attendee #7
Attendee #8
Attendee #9
Attendee #10

Company Information
Supervisor/Manager's Name Title
Company Name
Address PO Box
City State
Zip Phone
Fax Email
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©Copyright 2007 Schmidt Industrial Truck
2615 Mt. Pleasant Street, Racine, WI 53404 - (262) 632-7900
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