Events and Class Registration Registration Form Events and Class Registrations (Please fill out form for each class; select your class below) HYBRID = Is Limited number in class on Oahu, an online from any Island. ONLINE = ONLINE ONLY FROM ANY ISLAND All class Books will be mailed for any island except for Oahu (5 business days required for mail) * Driver Improvement Member Price: $45 Non-member Price: $75 Road Evaluation Member Price: $70 Non-member Price: $110 Hazardous Materials Training Member Price: $40 Non-member Price: $70 Forklift Training (classroom) Member Price: $40 Non-member Price: $70 Pre-Trip Coaching for License Upgrade (2 hours) Member Price: $140 Non-member Price: $220, AirBrakes session not included Forklift Evaluation Member Price: $30 Non-member Price: $60 for first Forklift, additional Forklifts $20, $40 for Non-Member (Class 1-6) Vehicle Inspection Member Price: $70 Non-member Price: $110 School Bus Driver Improvement Program Member Price: $40 Non-member Price: $70 Class 7 -Forklift Evaluation Member Price: Starting from $60 Non-member Price: Starting from $90, addtnl 50.00 Member, 70.00 Non-Member Air Brakes (2 hours), Member Price: $140 Non-member Price: $220 Companies will be charged for ALL students who are confirmed for classes regardless of actual attendance, unless two working days notice is given of non attendance. NO SHOWS will be given ONE CHANCE to make up the class at no additional charge on a space available basis within the calendar year. WHEN RESCHEDULING THE “FREE ONE CHANCE MAKEUP”, PLEASE INDICATE ON THE SIDE OF THEIR NAME, THE DATE OF THE CLASS THAT THE INDIVIDUAL MISSED (Joe Smith, n/s 1/1/14) SO VERIFICATION CAN BE DONE. If no date of class is provided, there will be a a service charge of $10.00 per person. Walk-ins without registering for a class without confirmation will be accessed a additional fee of $25.00. Cancellations -two days notice via email prior to class for refunds. *FOR HEAVY EQUIPMENT TRAINING, LICENSE UPGRADE AND FORKLIFT FORMAL TRAINING, PLEASE CONTACT LYNN AT (808) 833-6628, EXT 203 OR EMAIL AT [email protected] Date of class * Company * Physical Address * Telephone * Email Address * Name * Payment in the amount of $ Request for billing option (HTA members in good standing only) Please invoice me (for HTA members of good standing only) Credit card form attached - 2% surcharge to be applied Mailing in payment Please print or type students names(s) as they are to appear on their certificates. 1 2 3 4 5 6 7 8 9 10 If you would like to pay via credit card, please copy and paste the following page link and complete as required: https://www.htahawaii.org/chgcdform/ Captcha If you are human, leave this field blank. Submit
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