WorkSafe New England
Construction Safety Training Programs Order Form

Please fill out the order form below and send it, along with full payment, to the address listed. As always, please let me know if you have any questions or concerns, or if I can be of further assistance. Your comments and suggestions are welcome.

Jay Fitzpatrick
Safety Consultant and Trainer

 

ORDER FORM Please send ____ copy(s) of the Construction Safety PowerPoint Training Programs CD to: Your Name ______________________________________________________________ Company Name ___________________________________________________________ Mailing Address __________________________Street Address______________________ City, State, Zip ____________________________________________________________ Phone ( ___ )________________________ Extension _____________________________ E-mail _____________________________ Purchase Order # _______________________ Enclosed is a check for $_________ ($249.00 per CD, includes shipping) to cover the costs of the order. Make checks payable to WorkSafe. Send form and payment to WorkSafe NE, P.O. Box 112, East Andover, NH 03231-0029. Allow 3 weeks for delivery.