DEVTRA Inc. ORDER FORM ---------------------- Company: ___________________________ Contact: _____________________________ Email: ____________________ Phone: ____________________ Fax: ____________________ Address: ___________________________ City: ______________ Prov/State: ____ Postal/Zip Code: ___________________ Country: ___________ Please check the following services/items you are interested in/wish to order. Training Programs Seminars and Workshops ----------------- ---------------------- ______ "Accredited" Propane Operator ______ "Due Diligence" Workshop ______ Lift Truck Training Corporate Wellness Seminars: - - - - - - - - - - - - - - ______ Crane/Hoist Training ______ "Stress" Seminar ______ "WHMIS" Training ______ "Heart Attack" Seminar Train-the-Trainer Courses Consulting Services ------------------------- ------------------- ______ Propane ______ DEVTRA Inc. Consulting Services ______ Lift Truck ______ Crane/Hoist ______ "WHMIS" Compliance Training Materials Propane Cut-Away Cylinders ----------------------------- -------------------------- ______ "Accredited" Propane Training Materials ______ Typical 33 lb. Cylinder ______ Lift Truck Training Materials ______ Typical 20 lb. Cylinder (new OPD style) ______ Crane/Hoist Training Materials ______ One of Each 33 lb. & 20 lb. Cylinder ______ "WHMIS" Training Materials ______ Nitrogen Training Materials ______ Statis Electricity Training Materials Please add any additional information/comments: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________