Forklift Training, Operator Training, Mechanic Training

	Cleveland: 216.749.6800 / 800.637.6600 Columbus: 614.851.1001 / 800.686.3222 Mentor (Lake County) 440.951.9519 Toledo: 419.666.1333 / 800.456.5438

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#5000 ~ OPERATOR SAFETY COURSE ~ REGISTRATION

This course is for people that have been operating a Lift Truck for more than one year OR for those that have already taken How To Drive course #5010. You must have a valid State Motor Vehicle Driver's License. Fields marked with an * are mandatory. You must also agree to the terms and conditions by checking the box at the bottom of this page. Once you have been approved you will receive an e-mail containing payment information.

Course Location	CLEVELAND

COURSE DATE*
STUDENT 1 NAME
STUDENT 2 NAME
STUDENT 3 NAME
STUDENT 4 NAME
STUDENT 5 NAME
STUDENT 6 NAME
COMPANY REPRESENTED*
ADDRESS*
CITY*
STATE*	ZIP*

PHONE*
FAX
CONTACT PERSON*
E-MAIL*

Check the types of Lift Trucks that you operate	Class I - Sit Down/Stand Up Electric Counterbalance Class II - Narrow Aisle Reach Trucks, Order Pickers, Turret Trucks Class III - Electric Pallet Jacks and Walkies Class IV - IC Sit Down, Cushion Tire Class V - IC Sit Down, Pneumatic Tire
** Towlift cannot guarantee the Class of Truck used for driving evaluations.

Terms and Conditions:

Registration closes five (5) working days prior to the course start date. Cancellations must be made at least 3 working days prior to the course start date to avoid a cancellation or �no show� fee of $35.00. Towlift reserves the right to cancel courses prior to the start date without penalty of any kind.

Upon receipt of this registration by the Towlift Training Center, you will be contacted to confirm your registration. A confirmation letter and map will be mailed to you at the address listed on your registration.

Operators of powered industrial trucks shall be properly trained, evaluated for safe operation, and authorized by their current employer to operate the types of lift trucks used by that operator. Towlift cannot certify you as a powered industrial truck operator. Your successful completion of a Towlift Powered Industrial Truck Operator Training Course will provide your employer with the documentation for compliance with OSHA Standard 29 CRF 1910.178 (l).

I have been operating a Lift Truck for more than one year or have taken How To Drive course# 5010. I have a valid State Motor Vehicle Driver's License. I have also read through the course descriptions. I understand the prerequisites and agree to all the terms and conditions that are listed. I have supplied true and correct information on this registration. I understand the fees and terms of payment.

Please only click the Register button ONCE.