Forklift Train-The-Trainer Class Registration "*" indicates required fields Class Date & Location Company Name* Contact Name* First Last Phone*Please put your number in the following format: (###) ###-####ExtensionEmail* Enter Email Confirm Email Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Purchase Order number (optional) Participant Information*NameCell PhoneEmail Add RemoveTo add additional participants, click the plus icon to the right.Is billing Information the same as contact information? Yes No Billing Name* First Last Billing Phone*Please put your number in the following format: (###) ###-####ExtensionBilling Email* Billing Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Check Equipment Types* Sitdown Rider Stand Up Reach Elevated Order Picker Walkie/Walkie Rider Rough Terrain Telescopic Handler Mobile Elevating Work Platform (Scissor/Boom Lift) How Did You Hear About Us?* Existing Customer Phone Call Buckeye Forklift Buckeye Valley Forklift Central Ohio Forklift Harrs Forklift Service Hy-Tek Material Handling All Lift Service Straight Up Equipment Google Microsoft Bing Direct Forklift Top Shelf Integrated Solutions Mid-Ohio Material Handling Mid-Ohio Forklift AJ Gates Burns Industrial Equipment Forklift Training Systems highly recommends the purchase of materials for use with your program. These materials are offered at deep discounts when purchased at the time of registration. Up to 65% off retail pricing.Choose Your Trainer Kit(s)* Sit down, narrow aisle and pallet jack combination kit - $250 Rough Terrain, Telescopic hander kit - $250 Forklift Attachment USB (roll clamp, carton clamp, push-pull, single-double) - $100 Mobile Elevating Work Platform (Scissor and Boom Lift) - Kit $250 We decline to purchase any materials at this time. Check to attend day three for Mobile Elevating Work Platforms (scissor and boom lifts)* Yes No Notes or Comments (Optional)Cancellation policy: Once you register for this class on line we have a strict no cancellation policy, if you register for a class you are expected to attend and pay for it. However, we realize things do happen and you may reschedule to a different date or location with no penalty as long as you notify us 21 or more days before the start of your scheduled class. HiddenUser Agent