KTA-Tator, Inc.
115 Technology Drive
Pittsburgh, PA 15275
412.788.1300
412.788.1306 - fax

KTA-TATOR, INC.
Training Course Registration Form

All registrants: Please print and complete the form below.

For multiple registrations, please print individual copies.


Please check the space or box next to the course(s) you wish to take.

Basic Course: Coating Inspection Protective Coatings Inspector Training
Managing Coating Failure Investigations SSPC C.3 Supervisor/Competent Person Training for Deleading of Industrial Structures
Coatings Inspection Instrument Use SSPC C.5 Supervisor/Competent Person Refresher
 
Registration Information
Course Date
 *
Location
 *
First Name
 *
Last Name
 *
Title
Company
 *
Address 1
Address 2

*
City
 *

State/Prov *       Zip Code *

Country
 *
Telephone
 *
E-mail
 *
FAX
Web
 
Payment Information
Credit Card #
 - - -
Exp. Date
 / (Example 04/2012)
Type Name
Signature
 X_______________________________

 

Please send a check or money order payable to KTA-Tator, Inc.

Mail registration
and payment to:

KTA-Tator, Inc.
115 Technology Drive
Pittsburgh, PA 15275
Attn: Training Dept.

For more information, contact:
Diana Knepper at (412) 788-1300, ex. 217
or send e-mail to dknepper@kta.com
KTA-Tator, Inc. reserves the right to cancel classes up to one week before scheduled date due to low registration. Upon cancellation, KTA will provide registrants a full refund for pre-paid course fees. Cancellation of courses does not imply responsibility for reimbursement to registrants for non-refundable expenses (i.e., airline tickets).