Registration for Supervisor and Manager H&S

Supervisor & Manager Health & Safety Training Locations: TBD unless stated below Time: 9 a.m. – 4:00 p.m. Dates: Jan 10th GBEC; May 7th; Sept 27th; Nov 19th; Dec 12th Trainer: Lynne Bard Health and Safety Training is required for all Supervisors and Managers as of 2014. Supervisors and Managers need to know what their responsibilities are under the OHSA – this is the law Human Resource, Health & Safety & Training Consultants Head Office Phone: 519-821-7440 Toll Free: 1-877-423-4927 Fax: 519-821-7680 Email: info@beyondrewards.ca Web: www.beyondrewards.ca Locations: Guelph & Fergus Ontario Order Form Supervisor & Manager H&S Training Trainer: Allan Teal and Jess Buchanon $295 + HST (per person) Please circle the date you will be attending Sessions: Jan 10th GBEC; May 7th; Sept 27th; Nov 19th; Dec 12th Locations: Jan Guelph Business Enterprise Centre. May-Dec TBD Business Name: Address: Telephone: ______________________ Email Address: _________________________________________ Attendee(s) Name(s): ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Method of Payment: (please check one) Payment must be received no later than 2 weeks prior to the session. Cheque Invoice Me (must be paid 2 weeks prior to session) American Express VISA MasterCard Name on Credit Card: _____________________________________________________________________ Credit Card Number: ______________________________ Exp. Date: ____________________________ Verification Code: ___________ Signature: ______________________________________________ Total with HST/Person: $333.35 Number of Attendees: Total: To Register/More Information: Head Office Phone: 519-821-7440 Toll Free: 1-877-432-4927 Human Resource, Health & Safety & Fax: 519-821-7680 Training Consultants E-mail: info@beyondrewards.ca