Registration Form

Course: Fire Warden
Location: Dartmouth - SSNS 1-201 Brownlow Ave.
Start: 24-Oct-2019
Duration:


Number of Registrants

In order to pay by invoice you must be an SSNS Member/Preferred Customer. If you would like to be invoiced please contact SSNS Client Services at (902) 454-9621 and press 1 when prompted.

Payment Type: Credit Card


Primary Contact / Purchaser

Please indicate who is the Primary contact for this order. (Person who is paying)

Fields marked with an asterisk * are required.

Firstname *

Lastname *

Company

If your company name is not on this list then you are not an SSNS Member. Please type in your company name below

Company (non-member)

Address *

City *

Postal Code *

Phone *

EMail *


NOTE: Please ensure that the registrants' name(s) are spelled correctly. This information is used on our certificates.

Registrant #1

Firstname *

Lastname *

Phone *

EMail *


If you have a discount code, please enter it now.

Discount Code:


I agree that Safety Services Nova Scotia may contact me from time to time using the information collected here for the purposes of direct advertising of upcoming courses and events. I understand that I will be able to remove my name automatically at a later date should I choose to do so. Click here to view our full privacy policy.