FORD SITE SAFETY ORIENTATION ATTENDEE ACKNOWLEDGMENT

To be completed in order to schedule training at Vollmer

Email(Required)

This email will receive receipt and confirmation

Attendee details

Attendee Name:	Company Name:	Total	Actions

There are no Attendees.

Multiple Attendees can be added & total cost will appear below.

Total cost

Price: $ 0.00 CAD

Cost per attendee is $100 + $13 HST

Credit Card Address

Please use the address attached to your credit card.

Street Address Address Line 2 City Province Postal Code

Credit Card(Required)

Total

By submitting this form and payment, you understand if you do not attend your scheduled training, you have 30 days from the payment date to contact us to reschedule or request a refund. Failure to do so will result in your payment and registration being forfeited.