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Part 1: Personal Information
Part 2: Company Info
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Part 3: Method of Payment
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IMPORTANT!
Please contact the NORCAT GTA facility to register if you intend to pay with cash or debit.
+ 1 (647) 317-0915
Purchase Order
Credit Card
PO #:
Invoice Attn To:
Only provide the information below if someone else is paying by credit card on your behalf.
Is the credit card payee someone other than yourself?
Contact Name:
Contact Email:
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Card Number:
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Card Expiry Month:
January
February
March
April
May
June
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August
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Card Expiry Year:
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IMPORTANT!
Please note the following:
You will not be billed until you have taken this course.
Cancellations must be made at least 24 hours ahead of scheduled class or will be subject to non-attendance fee of
.
*Fit Testing* You must show up with your own respirator in order to be tested. Any client that shows up without a respirator will be charged for a respirator that we will use for fit testing purposes.
Please note: This course requires you to join from your own PC/MAC.