Factory Extinguisher Service Certification 2015 School Registration Classes are open to authorized Badger and Kidde Distributors in good standing Registration Instructions 1. 2. 3. 4. 5. 6. Please see below for AHJ and non-distributor attendees Use one form per student. Fill in all spaces below these instructions. Pre-registration is required to attend. Check all sessions which you plan to attend. Course must be attended in its entirety for a certificate to be issued. Please print clearly. Information on this form will be used for identification and to create certificates. Fax form to: 800-248-7809, ATT Training Coordinator. You will receive a return email confirming registration. Class size is limited. If classes are full you will be advised by return email. Please be sure you provide an email address for registration. Please allow 7-10 business days for processing. Fees & Expenses Distributor personnel are required to pay a fee to a end any training session. Fees can be paid as a purchase order or by credit card. Please provide your payment informa on in the space provided below. Confirma on will be made upon receipt of your applica on with full payment. Purchase orders must be pre‐approved. Payment will be processed upon receipt of your applica on. Confirmed registra ons cancelled within two weeks of the session are subject to a 50% of fee service charge per class. Student Name ___________________________________________________Job Title_____________________________ Badger Kidde Company Name: _____________________________________________________ Check one: AHJ Sponsored Sponsoring Distributor (if applicable) ____________________________________Account Number__________________ Contact/Sponsor Name ______________________________________ Contact Signature __________________________ Address __________________________________________________ City ___________________State_____ ZIP _______ Phone __________________________________________ Fax______________________________________________ Email Address _____________________________________________ All a endees must provide a photo ID upon arrival 2015 Portables Schedule City/State Date Loca on Detroit, MI Apr 2 Anchorage, AK City/State Date Loca on Cabelas—Dundee 110 Cabela Blvd. East, Dundee, MI 48131 Norfolk, VA Jun 18 Bass Pro—Hampton 1972 Power Plant Pkwy, Hampton, VA 23666 Apr 22 Cabelas—Anchorage 155 W 104th Ave., Anchorage, AK 99515 Bismarck, ND TBD Orlando, FL May 5 Bass Pro—Orlando 5156 Interna onal Dr., Orlando, FL 32819 Billings, MT TBD Milwaukee, WI Jun 12 Cabelas—Richfield One Cabela Way, Richfield, WI 53076 Boise, ID TBD Salt Lake City, UT Jun 16 Cabelas—Lehi 2502 Cabela’s Blvd., Lehi, UT 84043 Vancouver, WA Aug 31 Springhill Suites Portland Vancouver 1421 SE Tech Center Dr., Vancouver, WA 98683 PO # _____________________ Class Fee $195 per person. Visa MasterCard American Express Number ___________________________ Exp. _________ Cde _______ Must be in good standing . NOT Advance Payment Photo ID required for admission Cardholder Name _____________________________________________ Kidde and Badger welcome non-distributors and Authorities Having Jurisdiction. Those not factory authorized must be sponsored by an authorized distributor and approved in advance by Badger/Kidde. For non-distributors the course will include the sponsoring distributor’s name. Ask your sales manager for additional information. For AHJ’s a certificate of attendance will be issued upon completion of the entire course.
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