Course Registration - SAFETY COMPLIANCE & TRAINING LLC

COURSE REGISTRATION FORM

ENGLISH REGISTRATION FORM

First Name

Last Name

Address Line 1

Address Line 2 (Optional)

City

State

Zip Code

Country

Phone Number

Company Name or N/A

Name of Student Attending Training (Only if different than above)*

Email (Student Attending Training)

Select Scheduled Date & Training Location

November 18 - 20 : Commercial Vehicle & Brake Inspector Certification - Midland, TX

December 2 - 4 : DOT Compliance Manager - Amarillo, TX

December 9 - 11 : DOT Compliance Manager - Midland, TX (MC)

Pay for Course

DOT Compliance Manager - $1450

Commercial Vehicle & Brake Inspector Certification - $1250

DOT General Hazardous Materials - $1250

Motor Carrier Crash Investigation - $650

DOT Audit & Recordkeeping Seminar - $300

Pay with Card