INFORMATION REQUEST FORM Let us know a bit about yourself and your interest in training technology. You will assist us in meeting ongoing training needs just by answering a few questions about your company! All information entered below will remain confidential. Name: Company*: Email*: Position/Title: President Owner VP, Operations Manager, Operations VP, Human Resources VP, Training Manager, Training Information Specialist VP, Marketing and Sales Manager, Marketing Manager, Sales Other Other: Industry: Safety & Health Oil & Gas Transportation Environmental Protection Retail Information Technology Hazardous Materials Safety & Fire Protection Medical Health Finance Education Government Agency, Board Other Other: Company Size: Less than 50 51-100 101-200 201-500 501-1000 1001-2000 2001-3000 More than 3000     I am interested in the following products:     Confined Space Entry DOT Awareness   DOT Bulk Shipping Documents DOT Cargo Tank   DOT Tank Car Gas Testing   Lockout/Isolation Procedures Lift Truck Safety   Safety Awareness SIMDUT (Version Fran?ais du cours WHMIS Awareness)   Safe Work Permits TDG Awareness   WHMIS Awareness       My company has used computer-based training products: Yes No If yes, was your company satisfied with its CBT experience: Yes No     My company requires network-operable (local or wide area network, intranet or Internet delivery) computer-based training: Yes No   Your question*:   * required fields