Sky Climber® Facility Training Class Registration Form
Complete (type or print neatly) this registration form and fax the form to Sky Climber® at (740) 203-3901. Select the course dates from the class schedule. Remember, classes fill quickly and reservations are on a “first come, first serve” basis. Mechanic service training classes are limited to 8 students. Safety / Application training classes are limited to 20 students.
Training Course(s)
Requested:
___ Compact Series & Alpha 1000 Course
(1-day
duration)
___ Safety Training Course
First Choice (Date): ________________ Second Choice (Date): __________________
Student Information:
Student Name:
_____________________________________________________
Company Name:
___________________________________________________
Address: __________________________________________________________
City:
_________________________________ State:
_______ Zip: ____________
Company Phone:
_______________________ FAX:
________________________
Contact Person: ________________________ Email
Address: __________________________
Payment Method:
______ Check Number: ________ (Make check payable to Sky Climber LLC)
______ Company Purchase Order Number:
___________________
______ Charge Credit Card (circle one) - American
Express, Visa, Master Card
Card
or Account No. _____________________________ Expiration Date: ________
Name
on Card: __________________________________________
Authorized
Signature: ____________________________________
If paying by check, please
mail a copy of completed form and the check to the following address: