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 CustomerPhone CallEmailGoogleMicrosoft BingAJ GatesAll Lift ServiceBuckeye ForkliftCentral Ohio ForkliftCromer Material Handling (Bakersfield)Cromer Material Handling (Fresno)Cromer Material Handling (Las Vegas)Cromer Material Handling (Manteca)Cromer Material Handling (Sacramento)Cromer Material Handling (Santa Maria)Direct ForkliftDoosan So-CalEagle Mark 4 (Mansfield)Eagle Mark 4 (New Mexico)Eagle Mark 4 (North Carolina)Fleet TeamFMH Material Handling Solutions (Albuquerque)FMH Material Handling Solutions (Denver)FMH Material Handling Solutions (El Paso)Forklifts Group (Columbus)Forklifts Group (Toledo)Forklifts Group (New York)Harrs Forklift ServiceIntermountain Lift TruckMid-Ohio ForkliftMid-Ohio Material HandlingMTech CompanyNexTier EquipmentTop Shelf Integrated SolutionsTowlift (Cleveland)Towlift (Columbus)Towlift (Toledo)Towlift (Pittsburgh)Towlift (Mentor)Towlift (Oakland)Wilson Barrett Battery Power SystemsHiddenHow Did You Hear About Us? Existing Customer Phone Call Google Microsoft Bing AJ Gates All Lift Service Buckeye Forklift Central Ohio Forklift Cromer Material Handling Direct Forklift Eagle Mark 4 Fleet Team FMH Material Handling Solutions Forklifts Group (B & B Forklift) Forklifts Group (Forklifts of Toledo) Forklifts Group (New York) Harrs Forklift Service Intermountain Lift Truck Mid-Ohio Forklift Mid-Ohio Material Handling MTech Company NexTier Equipment Top Shelf Integrated Solutions Towlift Wilson Barrett Battery Power Systems 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 Training Materials (all materials are in USB format)* Sit down, narrow aisle and pallet jack combo kit (English): $250 Sit down, narrow aisle and pallet jack combo kit (Spanish): $250 Rough Terrain, Telescopic hander kit (English/Spanish combo): $300 Mobile Elevating Work Platform kit (English): $300 Mobile Elevating Work Platform kit (Spanish): $600 Forklift Attachment kit (roll clamp, carton clamp, push-pull, single-double) (English/Spanish combo): $150 We decline to purchase materials 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