4580 Washington Blvd., Beaumont, TX 77707 Phone: 409.842.6760    Fax: 409.842.6763

Registration

Student Name #1: (required)

Student Name #2:

Student Name #3:

Course Attending (required):

Course Date: (required)

Previous training with OHSTI? (required)
If previous training is not with OHSTI, please e-mail a copy of your previous training to angela.gillis@ohsti.com.

 Yes No

Which state certificate do you want? (required)
 Texas Louisiana Both

Company Contact Name:(required)

Company Contact Phone Number: (required)

Contact e-mail (required)

Company Address: (required)

Payment Option: (required)
 Company Check Cash Credit Card PO (Approval Needed)

Registration Policy:
Please call Angela at 409-842-6760 or send an e-mail to angela.gillis@ohsti.com to inform OHSTI you have sent a request for registration. Make checks payable to the Occupational Health & Safety Training Institute. If agency purchase order is desired, written authorization must accompany registration.

Cancellation Policy:
All cancellations must be received in writing. Those postmarked less than one week prior to the course will be subject to a processing fee. After that time, no refund will be issued, but substitutions can be made (personnel or dates) for a regularly scheduled course. If cancellation occurs, you may be subject to a 25% cancellation fee. Special off schedule courses are subject to a 100% cancellation fee.

1. FULL PAYMENT must be made the first day of class. Any partial payment received will have a penalty of an additional $25.00 to the initial price of the course.

2. A course registration form with payment arrangement must be submitted in advance to confirm registration.

3. For a full refund of course fees a cancellation must be submitted seven 7 days in advance.

4. A returned check charge of $30.00 and any additional cost associated with the collection of the course fees will be assessed on any checks returned to OHSTI for any reason.

5. No certificate will be issued until the course is completed and student has passed the required exam.

6. Refunds will not be issued after course begins, but may be used for future courses.

7. There are no refunds special request courses. Personnel or date substitution in a regularly scheduled course is accepted.

8. A registration form must be received prior to attending any course.

 I have read the above registration and cancellation policy. By checking this box I understand that fees will be collected if a course registration is cancelled. (required)