Register for the Certified Instructor/Test Examiner Workshop

Front-Line Supervisors from National LIFTOR Licensed Industrial Sites ON-LINE Register for the LIFTOR Certified Instructor/Examiner Workshop *Pricing good through 4/30/12. See below.* How to Register
	Internet	Complete the form below and click on Submit Form. A National LIFTOR Registrar from MGI will confirm your registration via telephone and answer any of your questions.	Fax:	*Complete the printable form and fax to: 732-563-4430

Choose one:	4 day Registration for Supervisor 2 day registration for NON-Front Line supervisor
Workshop Date:		Enter Sponsor Dates: OR Please call me at my number below to schedule On-Site Sponsor Dates:	[ ____________ ]
Full Name:
Title:
Email:
Company:
Street Address 1:
Address 2:
City:
State:
Zip Code:
Telephone:
P.O #:	Invoice $485 for Guide & Kit. If NON Supervisor, add $2195 for 2 day WS