Course Registration Form

NAME:

COMPANY:

ADDRESS:

PHONE:

MOBILE:

FAX:

EMAIL:

COURSE TITLE FEE REGISTER DATE
7 HOUR NYCDOB SITE SAFETY MANAGER TRAINING $275
8 HOUR NYCDOB SITE SAFETY MANAGER TRAINING $295
40 HOUR NYCDOB SITE SAFETY MANAGER TRAINING $595
10 HOUR OSHA CONSTRUCTION SAFETY TRAINING $265
30 HOUR OSHA CONSTRUCTION SAFETY TRAINING $575


TO REGISTER FOR ONE OR MORE CLASSES COMPLETE INFORMATION ABOVE

CLICK HERE FOR THE PRINTABLE VERSION OF THIS FORM

YOU CAN SUBMIT THIS REGISTRATION FORM OR YOU CAN FAX THE PRINTABLE VERSION TO (631) 209-2001

THEN MAIL THE COMPLETED REGISTRATION FORM WITH PAYMENT AT LEAST TWO WEEKS PRIOR TO BEGINNING OF CLASS

Construction Safety Consultants
89 North Country Road
Shoreham‚ NY 11786

FOR ADDITIONAL INFORMATION PLEASE CALL (631) 209-2000