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Specialized On-Site Request Form
Specialized On-Site Request Form
All specialized training on-site classes will be charged the cost of class per student (minimum of four students), cost of on-site instructor ($200.00 per class), cost of mileage to and from ISTC, and cost of SSV ($6.00 per person). If the on-site training location exceeds a 60-mile radius from an ISTC location, the customer may be charged additional cost based on the location of the training site. All on-site registration must be completed online by customer prior to on-site or an additional $125.00 administrative fee will be charged. If the customer wishes to pay the administrative fee, requiring ISTC to schedule, a list of individuals attending training must be submitted to training@istc.net by 12:00 PM (CST) the day before the scheduled class. The list must include the last six digits of the trainees’ social security number, name (first and last), and classes needed.
ISTC shall provide the following classes at the request of:
Company Name
Client ID
Company Contact Name
First
Last
Primary Phone Number
Email
Requested Courses
Requested Date
Date Format: MM slash DD slash YYYY
Requested Time
:
HH
MM
AM
PM
Number of Students
PO #
Address where class will be given
Street Address
Address Line 2
City
Alabama
Alaska
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Delaware
District of Columbia
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State
ZIP Code
Insurance Requirements To Enter Facility
Specific PPE Requirements to enter facility
Company Representative Name
First
Last
Company Representative Signature