Equip-Safe

Group Enrolment Form

You are about to book participants in a Yellow Card Scissor Lift course.

Course Start date: 07 May 2024

$425 Course Fee includes the EWP Association Licence Fee of $25.

Your application is electronically sent to the EWP Association on successful completion of your course.

If you would also like to undertake Yellow Card Boom Lift (under 11 metres) then please contact Equip-Safe on 9358-5772.

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

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

Available seats: 4

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 *

Preferred Payment Method

Purchase Order

Participants

Surname

Given Names

Date of Birth

Gender

Mobile

Available seats: 4

Participants

Total price for participants: $425.00

Enrolment Fee: $425.00