Print This Page (2 pages) Training Course Booking Form Contact Name:................................................................................................................... Contact Telephone Number............................................................................................... Company Name:................................................................................................................. Invoice Address:................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ Date Training Required: ................/.................../................... Location: .................................................................................... Course Details: IPAF Operator: Demonstrator: PASMA Standard Alloy Tower Boom.......... Scissor.......... Trailer.......... Vertical Platform.......... Vehicle Mount.......... ALLMI Lorry Loader or Slinger/Signaller Hook.......... Clam Shell....... Grab............ Auger............ Categories Required: (please tick applicable) Payment Method: Proforma Invoice........../Payment on the day.......... (tick as appropriate) Operator Names: (Must be aged 18 or over, physically fit and mentally capable) 1...................................................................................... 2...................................................................................... 3...................................................................................... 4...................................................................................... 5...................................................................................... 6...................................................................................... 7...................................................................................... Number of Trainees: ........ If training is to be held on your premises and with your equipment, please have the following available: 1. Training room suitable for the number of trainees 2. Cordoned off area to operate the machines 3. Equipment Suitable for catagories being trained on 4. Current test certificate(s) for the lifting equipment being used (the instructor must have sight this before training can commence) Personnel must bring with them: 1. National insurance no or driving licence no. 2. Hard hat. 3. High vis vest, gloves, goggles and harnesses if aplicable 4. Wet weather gear. We will supply all other PPE required. Cancellations We will try wherever possible, to make alternative arrangements should you need to re-arrange the date of your training. We require a minimum of three (3) working days notice to cancel the training course. Cancellations after this period will be charged at the agreed booking form rate. Signature........................................... Print Name ......................................... Position............................................. Date ........./........./......... PLEASE NOTE: This completed booking form is your contract with Training-4-Safety and is therefore a binding agreement. Once completed please forward to . Pen Ucha Roe Bach. Lower Denbigh Road, St.Asaph Denbighshire. LL17 QEP. Or fax to 01745 730734 or by e-mail to training@training-4-safety.co.uk Training Centre: Bob Francis. Unit 31-32, Zone 1, Deeside Ind Est, Deeside. CH5 2LR.