All registrations must be signed. PRINT THIS FORM OUT FROM YOUR BROWSER or get PDF Registration Click HERE! EMAIL US HendyCompany Super Safety® or Chicago Safety Institute |
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Company: _____________________ PO# ___________ Established Accounts attach Original Purchase Order by FAX |
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From: Dave Hendy Trainer Telephone 773-538-3333 |
Call anytime (800) 275-8239FAX this to 773-538-8080 Email See above |
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Billing Address: Chicago Safety Institute PO Box 09282 Stock Yard Station Chicago, Illinois 60609 |
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Chicago: I-90/94 Local Lanes Exit SOuth 47th Street go West to Halsted go North toTraining Location **4551 S. HALSTED CHICAGO, ILLINOIS 60609** East Side of Halsted, Park on Side street 46th for free! |
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We issue THE OSHA Construction 10 & 30 Hour CARD and certification for HAZWOPER for EMERGENCY RESPONDERS. Locations we can train at your site! Modern Facility training by arrangement for our customers always confirm start and scheduled times. Always check please where Location of class is; at 4551 Halsted Chicago Il. or other Locations. HAZWOPER #1 |
1) Nationwide | 2) Services: Safety, & Hygiene Services. | 3) OSHA Authorized Outreach provider, AHA & NSC Community Ctr |
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Desired Dates ___________________ Point Of Contact ________________________________ | |||||||||||||||||||||||||||
40-Hour HAZWOPER ___ |
24-Hour ERT ___ |
Supervisor 8 Hr __ |
8 HR. Refresher ___ |
DOT Initial 24 Hr. ___ |
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Confined Space ___ |
Disaster Site Worker 16 Hr ___ |
First Aid & Adult CPR___ |
Respirators ___ |
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Excavation Safety ___ |
OSHA 10 Hr for Construction ___ |
Quantitative Fit Test ___ Cost Plus Respirator Porting___ |
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Excavation Safety ___ |
OSHA 10 Hour for General Industry ___ |
Hazard Communication ___ |
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Incident Command __ |
RCRA Management ___ |
Emergency Response Team ERT Training ___ |
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Fork Lift Training ___ |
AHA First Aid/Adult CPR __ w/ AED Add __ |
OTHER:____________________________ |
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Terms and conditions:
Terms and conditions: SERVICES
REQUIRE A SIGNED AGREEMENT and/or REGISTRATION FORM, Valid ID required
and/or credit card. Register for training. Prepay at time of service
unless credit application on file or as an established customer. All
courses are tentative until invoiced and payment is received and
trainees sign in. Cancellation Policy: To Cancel FAX and Call ten
(10) business days before the class to be free thereafter no refunds,
(800) 275-8239 and FAX (773) 538-8080 Thus
[CANCELLATION less than < 10
DAYS WE CHARGE FULL PRICE/ less than < 3 DAYS FOR MSHA and OSHA 10 or 30
Hour upon invoice or for online or correspondence at upon invoice or
registration; no exceptions without our written approval (books and the
original certifications must be recovered). [NO CANCELATIONS BETWEEN
December 15 and January 1, WEEKENDS OR HOLIDAYS will be refunded] No refunds in order to cover
our cost, no show no refund, and online training or correspondence no
refunds after 24 hours of registration. We reserve the right to cancel
or modify prices at any time due to availability of instructors and
their locations or based on supply and demands. This may be due to
scheduling & to answer our client’s and Emergency Response needs, if WE
CANCEL there is a FULL REFUND for cancellation. Cancellations and
rescheduling fees shall apply $50.00 (Example with letter for dated
after booking drug test failure & military activation excluded, Dr.
Letter Medical Emergency, Court letter Jury Duty). We do not refund last
minute project cancellations as we have costs too. We can perform at
your facility on a cost plus 15% basis, $18.50 per hour for travel hours
more than 40 miles. Seats guaranteed only upon payment. Pay by
Corporate, or Certified Check, Money Order or Credit Card w/ processing
fee. Late payments ANY course incur interest 15 % Per Month (or maximum
allowable by law (No Exceptions) and [VOID ALL DISCOUNTS and for
HAZWOPER Effective January 16, 2020, If you don’t have an approved
credit account here, then paying after 4 hours day of training is late
registration $995.00 for 40-Hour Courses and pay $150 for 8 Hour
Refresher except correspondence that is thirty days from the date of
registration where applicable. Anyone may cancel in the first 4 hour
four for a refund and less guest paid speakers or instructors travel and
shipping we incur cost +15%. Client agrees to pay within Thirty
Days (30 Days) past due an interest fee of 15 % Per Mo. or the highest
allowed by the state the lower of the two shall apply, will be charged
thereafter; non-payment subject to costs for recovery. We reserve the
right to Sub-Contract all or a portion of our services. Contract for
payment on demand unless indicated otherwise. Other binding terms shall
be on registration signed for payment these terms and those are binding
and the latter shall supersede in the event of any conflicting terms.
[Client and all related
persons being serviced by the authorized person signing agreeing to any
of our services shall pay any attorney fees for us to recover our loss.
Furthermore agree to hold harmless, indemnify, and defend David Hendy;
Hendy Company, Super Safety or Chicago Safety Institute, premises, or
any others e.g. staff, instructors & our contractors, and the property
owners for any accidents, personal Injury, lost time, injuries, property
damage and/or to be not liable for any circumstances.] This is because we do not
supervise your employees or give medical physicals. Other than extremely
gross negligence. We are not responsible for any unforeseeable travel
delays we can not anticipate or delivery dates. If at our location
anyone may cancel for free if signed in on time and within four 4 Hours
only. If any part of this agreement shall be found not applicable it
shall not restrict the other parts from being applicable all
participants shall be covered by their own or employer(s)’ workers
compensation, or their own insurance or employers and assume their own
responsibility for any whatsoever accident or causation. That is solely
the individual or employers responsibility you agree your employees are
physically fit to get this training 29 CFR 1910.120(f). [Warning actual work conditions
may differ from training we DISCLAIM any written or spoken information
and it may only be applicable at the time of training it is for
educational purposes only.] [We do not endorse any Manufactures products
for any purpose].
Discounts may be available. Credit Card payment may show on any of these Hendy Company, Super Safety or Chicago Safety Institute. If any part of this agreement shall be found not applicable it shall not restrict the other parts from being applicable all participants shall be covered by workers compensation or their own insurance or responsibility for and accident. Discounts may be available. THE LEADER THE REST WILL FOLLOW! It's what you learn after you know it all that counts! |
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under domestic and international laws All Rights Reserved. |