Request and Confirmation for Attendance at Ground Power School.

Company:______________________________________

Billing Address: ________________________________

City: ___________________________State: _________

Zip Code: ______________Country:________________

Contact:_______________________________________

Email Address:__________________________________

Telephone:_____________________________________

Fax: __________________________________________

School Date:___________________

Class Type (AC Engine, DC or AC Solid State):_______________________

Personnel Requested to Attend:

Name:________________________________Title: ________________________________

Name:________________________________Title: ________________________________

Name:________________________________Title: ________________________________

Name:________________________________Title: ________________________________

Arrival Date: __________________

DO NOT WRITE IN THIS AREA

Request Received On: ___________________ Confirmed: __________YES __________NO

If Not Confirmed, Reason: _____________________________________________________

Reply Sent On: ________________________ By: __________________________________

The completed form can also be faxed to the Hobart Ground Power Service Department at (937) 332-5121 or (800) 367-4945, within the U.S.A. From outside the U.S.A., please fax form to +1 (937) 332-5121.

1177 Trade Road East, Troy, Ohio 45373-2975 U.S.A.
Phone: 937-332-5080 / Fax: 937-332-5335
Sales: 800-422-7253 | Parts: 800-422-4166 | Service: 800-422-4177
Email: Sales@HobartGroundPower.com

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