Registration – Sales and Service Safety Association

Please fill out a separate form for each course or date or as required.

You will be contacted by S2SA for payment information.

Course:

Company: *

Contact Name *

Contact Phone: *

Contact Email: *

Attendee/Registrants:

*Please ensure names are spelled correctly as this will be used on certificates

FIRST NAME	LAST NAME	POSITION/TITLE	EMAIL ADDRESS

Legislation Book (OPTIONAL), $20 each, please enter # of copies:

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Refund/Cancellation Information:

You may be eligible for a refund if you notify S2SA within 3 business days of the course date. If you are unable to attend a course, please contact your Safety Advisor, or email [email protected]. S2SA reserves the right to cancel the course due to lack of registrants and offer the registrant the next available date.