Workplace Integra: Hearing Conservation and Health Data Management  Hearing Conservation Technician Training Link to Health and Safety Services

Training

Contact Workplace INTEGRA
at (888) WPI-0001 or by for more information.

Online Course Registration Form

Use this on-line registration form to register for scheduled courses offered by Workplace INTEGRA. The form may be submitted online or you may use our printable registration form and fax or mail it to our office at:

Workplace INTEGRA, Inc.
PO Box 35767
Greensboro, North Carolina 27425-5767

FAX (336) 856-2945

You may also register by phone by calling (888) WPI-0001.

Payment

Payment is due upon registration. You may pay by credit card by using our online shopping cart (follow directions once you've completed this registration form), or by calling us with your credit card number. If paying by check, please make checks payable to Workplace INTEGRA. Payments not received 7 days prior to the course date will result in cancellation of registration.

A letter of confirmation along with directions to the facility will be sent after the registration has been received. See course descriptions for specific class times. Workplace INTEGRA reserves the right to cancel any course that does not meet minimum registration requirements.

Important: If you cannot attend the class for which you have registered, we will offer you an alternate date(s). Requests for a refund for a class paid for with a credit card will result in a service fee of at least $100.

Where did you hear about this course?

Highlight the source in the list below.

If "other" is selected, please specify

To select more than one source, hold down the "control" key.

Mac users hold down the "command" key.

Personal Information:

Fields with *s must be filled out.

To select more than one credential, hold down the "control" key.

Mac users hold down the "command" key.








Company Information:

         



Course Information:

Please select the course * title and also the * date/location from the drop-down menus below.
You MUST ALSO select a date and location for the course for which you are registering.

*
* *
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* *
* Please contact me about scheduling training for Workplace Applications Software.



Special Accommodation?:

Please describe below.



Special Instructions:

Please specify your equipment make and model. If you have questions regarding this, please contact Joan Evangelista at (336) 834-8775.


If you're taking the Workplace Applications Software Training, do you consider yourself a:   


What area(s) are you interested in?  







Payment Information:

Please select your * payment method. If paying by credit card you will proceed to our online shopping cart once you've submitted your registration.

Check
Credit Card (MC, Visa, Amex only)
Purchase Order

PO#:

IMPORTANT NOTE: Clicking the "Submit Registration" button below will send your registration information to our training registrar. Upon successful submission, you will be sent to a "Thank you" page. If you're paying by credit card, please click on the course title / date for which you are attending and you will be immediately transferred to our online shopping cart.


WAIT! Did you remember to select your course date and location? Please do before submitting this form! Thank you!

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© Copyright 2010, Workplace INTEGRA, Inc., Greensboro, North Carolina
Better Business Bureau Accredited Business
420-B Gallimore Dairy Road
Greensboro, NC 27409
888-WPI-0001
336-834-8775
FAX: 336-856-2945