*Name:

*Address/City/State

Company:

*Business Address/City/State:

*Phone:

Alt. Phone:

*Fax:

*e-mail:

*Choose Training -Select a choice-OSHA 8 hr. Refresher OSHA (fewer hrs.) OSHA HAZMAT OSHA 40 hr. HAZWOPER

*Location -Select a choice-W. L. Smith & Ass. Facility On-Site (local) On-Site (travel req.)

*Method of Payment -Select a choice-Cash Check Money Order Credit Card (Paypal)

All checks for OSHA training will undergo verification and clearance before registration is approved.  All returned checks will be assessed a $50 penalty. 

All checks must be made out to:
W.L. Smith & Associates Consulting, Inc.

All checks are to be mailed to:
1801 Hillside Dr.
Tampa, FL, 33610
 
If there any further questions call us at (813) 531-1845.