Download 2015 Training Program Information and Application

Transcript
Training Fees – (Use this form only for Quick Start & Revolver Payments)
(AAADM fee payments are to be made at the website listed below)
Quick Start Level 1 - $475
Quick Start Level 2 - $600
Revolver - $900
Applicants should submit their completed training application along with check made
payable to Door Controls USA, Inc. or complete the Credit Card Payment form below.
The Quick Start class and AAADM fees are separate payments.
AAADM - $250 The fee for AAADM Inspector and AAADM Revolver Inspector is
$250 per person, payable to AAADM via PayPal or check. Applicants should submit
their completed AAADM License Agreement along with their payment or receipt to
Door Controls USA, Inc. for processing. To pay by credit card, visit the AAADM PayPal
link and write the receipt number on your application. AAADM PayPal:
http://www.aaadm.com/paypal/certification.htm
Please send all completed paperwork to Door Controls USA for processing.
CREDIT CARD INFORMATION
Students Name:____________________________________________________
CUSTOMER NUMBER: ____________ Company Name:___________________
INVOICE NUMBER: _________________________________________________
AMOUNT BEING CHARGED: _________________________________________
CREDIT CARD NUMBER: ____________________________________________
EXP DATE: __________ SEC CODE: _________________
NAME ON CARD: ___________________________________________________
CREDIT CARD BILLING ADDRESS: ____________________________________
CITY: ________________________ STATE: _________ ZIP: ________________
PHONE NUMBER: __________________________________________________
CONFIRMATION REQUESTED:
EMAIL
FAX
NO
FAX NUMBER: _____________________________________________________
EMAIL: (PREFERRED) _______________________________________________
ATTN: ____________________________________________________________
TAKEN BY: ________________________________________________________
321 VZ County Road 4500  Ben Wheeler  Texas  75754  Phone 800-437-3667  Fax 903-833-1020
www.doorcontrolsUSA.com