Course/Workshop Registration Form Company Information Company Legal Name (required) Address (required) City (required) Province (required) Postal Code (required) Primary Contact Person (required) Position: Email (required) Phone (required) How did you hear about us? (required) (click all that apply) Word of mouthVisit from a SafetyDriven MemberNewsletterEvent/WorkshopReferralSocial MediaInternet SearchAdvertising (choices of: Radio, Magazine, Other Website)Other If "Other" is selected, please specify below: WorkSafeBC Classification Unit Number 732019 - General Trucking732030 - Moving and StorageOther Classification Unit List all other CU numbers Main Participant Detail Name Position Email Phone Participants Notes:(please add note if any participants are vegan or have food allergies, etc.) Price Courses & Workshops Member Non-Member Number of Participants Total Course Name Small Employer Internal Auditor Course [ Jun 5 - 6, 2018 ] Internal Auditor Recertification for Large Employers [ Jun 12, 2018 ] Large Employer Internal Auditor Course [ Sept 5 - 6, 2018 ] Small Employer Internal Auditor Course [ Oct 23 - 24, 2018 ] Large Employer Internal Auditor Course [ Oct 30 - 31, 2018 ] Check here if you would like to have workshops arranged at your facility Pricing Summary Subtotal GST (5%) Total Amount Due Payment Payment Type Cheque (Make payable to BC Trucking Association)VISAMastercardFree (member of SafetyDriven) Card Number Cardholder's Name Expiry Date Confirmation Policy: TSCBC will confirm receipt of your registration via fax or email within one (1) week of receiving your completed registration form. Cancellation Policy: Cancellations will be accepted only if TSCBC is advised of need to cancel at least five (5) business days in advance of the course date. After that time, 100% of the registration fee will be payable. Substitutions will be accepted at any time.