First Name
Last Name
Company
State
City
Street
Zip
Phone
Email
What Type of Boiler(s)?
ClearFire-H
ClearFire®-CE
ClearFire®-LC
CBT Modular
SwitchFire®
Other (Enter Below)
Other Boiler Type
Number of Sessions:
1
2
3
4
Attendees per session (min of 5):
Total Attendees (min of 5):
What is the boiler experience level among those who will attend the class?
New Employee
Basic Level
Intermediate Level
Expert Level
All of the above
Do you have a room to conduct the training within your facility?
Yes
No
Can we have access to the boiler room during the class session(s)?
Yes
No
Where will the training be conducted?
What fuel is the primary fuel?
Natural Gas
Propane
What is the secondary fuel?
Natural Gas
Propane
List the serial number(s)
What is your first preferred date for the training?
What is your second preferred date for the training?
What is your third preferred date for the training?
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