Equip-Safe

Group Enrolment Form

You are about to book participants in an Orange Card Combo - Scissor Lift, Boom Lift (up to 11 metres), Work Safely at Heights course.

Course Start date: 25 Sep 2025

NOTE - this session is a TWO FULL DAY session not a day and half. By enrolling in this session, you agree to attending the full two days.

If you consider you may be eligible for the Construction Training Fund Rebate or relevant membership discount please contact Equip-Safe directly.

Please then fill in the form below. Fields with a red * are required.

Available seats: 2

Organisation Name *

First Name *

Last Name *

Email Address * Please CC me at the above email address in correspondence to the following participants I am booking.

Phone Number *

ABN *

Postal address *

Preferred Payment Method

Purchase Order

Participants

Full Course Cost:	$650.00	^{($650.00 per student)}
Payable for enrolment:	$650.00	^{($650.00 per student)}

Available seats: 2

Participants

Full Course Cost:

$650.00

($650.00 per student)

Payable for enrolment:

$650.00

($650.00 per student)

^{($650.00 per student)}

^{($650.00 per student)}