Equip-Safe

Group Enrolment Form

You are about to book participants in an Orange Card - Scissor Lift, and Boom Lift (up to 11 metres) course.

Course Start date: 05 Sep 2025

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.

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

Full Course Cost:	$460.00	^{($460.00 per student)}
Payable for enrolment:	$460.00	^{($460.00 per student)}