PRE-ENGINEERED DISTRIBUTOR TRAINING
Course Registration Form

* Required

*Course Location

*Virtual Course Date (hold CTL to select multiple courses) Class Times: All 10:00AM - 6:30PM EST (7:00AM - 3:30PM PST)

*Online Recertification Month (hold CTL to select multiple courses)

*Name of Student

*Job Title

*Country of Citizenship

*Your Company Name

*Address

*City

*Province

*Postal Code

*Phone Number

Fax No.

*Student Email Address
We will send class and exam download links to this email address. Students must have access on training/exam day.

*Manager / Office Email Address
This address will be copied on all correspondence.

*Distributor (where you purchase product from)

Kidde Canada

Other

*Other

Purchase Order Number