Administration: Suite 2, 5 Lakeside Dr, Burwood East, Vic 3151
Training Facility: 450 Burnley St, Richmond, Vic 3121
Telephone: 1300 855 163 Fax: 1300 655 511
Email for booking & general correspondence: [email protected]
Email for remittance advices: [email protected]
WORKPLACE EMERGENCY MANAGEMENT BOOKING FORM
ORGANISATION ACCEPTING FEE FOR TRAINING
Name to appear on invoice: _____________________________________________________________________________
ABN: ________________________________ and/or ACN: _____________________________
Postal Address: ________________________________________________________________________________________
ACCOUNTS PAYABLE CONTACT
Name: _____________________________________________ Phone: __________________ Fax: __________________
Mobile: __________________________
Email: _________________________________________________________
TRAINING SITE DETAILS
Address where training is to take place if not at 450 Burnley Street, Richmond: _________________________________
__________________________________________________________________________________________________
Please confirm resources required:
Computer
Data projector
Classroom
BOOKING CONTACT
Name: _____________________________________________ Phone: __________________Fax: ________________
Mobile: ____________________________ Email: _______________________________________________________
TRAINING RESERVATION REQUEST (14 days` notice required)
Course
* refer to website for dates
Qty
Date
Time
Qty
Price $
incl gst
TW052
Extinguisher & Hose Reel Training (1 hour)
10 max
/
/
440.00
TW012
Extinguisher & Hose Reel Training (1 hour)
20 max
/
/
660.00
TW011
Initial Emergency Response & Extinguisher Training (1.5 hours)
20 max
/
/
880.00
TW053
Fire Wardens Training (2 hours)
10 max
/
/
660.00
TW013
Fire Wardens Training (2 hours)
20 max
/
/
990.00
TW055
Fire Wardens Training with Extinguishers (3 hours)
10 max
/
/
880.00
TW015
Fire Wardens Training with Extinguishers (3 hours)
20 max
/
/
1,600.00
TW282
MFB Fire Wardens Training – Burnley Street (3 hours)
p/p
/
/
209.00
TW032
MFB Chief Wardens Training – Burnley Street (2 days)
p/p
/
/
726.00
TW060
Practical Evacuation with Report (1 hour)
< 25
/
/
660.00
TW020
Practical Evacuation with Report (1 hour)
< 50
/
/
880.00
TW061
Practical Evacuation with Report (1.5 hours)
> 50
/
/
POA
TW018
Consultancy (per hour)
/
/
550.00
TW070
Client Specified (per hour)
/
/
POA
TW062
Site Evacuation Plans
/
/
POA
TW016
CBT** Safety Officer
/
/
1,595.00
** For a place of public entertainment
** Competency based training
** Copy of first aid certificate to be provided upon booking
p/p
Total Price
$ incl gst
Total $
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Administration: Suite 2, 5 Lakeside Dr, Burwood East, Vic 3151
Training Facility: 450 Burnley St, Richmond, Vic 3121
Telephone: 1300 855 163 Fax: 1300 655 511
Email for booking & general correspondence: [email protected]
Email for remittance advices: [email protected]
WORKPLACE EMERGENCY MANAGEMENT BOOKING FORM
NAMES OF ATTENDEES:
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________
PAYMENT
Payment is required upon booking. Clients may pay by credit card, EFT or BPAY. An invoice will be sent to your accounts payable
and booking contact email addresses. The invoice will explain how to pay via EFT and BPAY. In some circumstances cheques will
be accepted. Please nominate your method of payment:
BPAY
EFT
Credit Card – please complete below:
Type of card: (only Visa and Mastercard accepted)
Visa
Mastercard
Card-holder Name: _____________________________________________
Card number:
Expiry
TERMS & CONDITIONS
Thank you for enquiring about the various courses and services offered by Fire Equipment Services. The information contained in this booking form is provided to assist you in
selecting suitable training for your organisation and suitable staff to undertake the training.
Courses and services offered by the FES
The different courses and services offered by F E S are set out in this booking form and described in brochures available upon request.
Candidate selection
The various services provided at the MFB training facility are designed to impart a theoretical and practical appreciation of the characteristics of fire, smoke, heat and the
claustrophobic attributes of a confined space environment. Course participant’s involvement may include extinguisher and hose reel training and possible exposure to hot and
(synthetic) smoke filled environments. Your selection criteria should therefore take into account the physical attributes a candidate will need to successfully complete the
chosen course.
Participants are subject to safety requirements
Prior to the commencement of activities, trainers will explain all relevant safety requirements. Course participants will be advised that certain health conditions will make
involvement in some activities inadvisable. It is the responsibility of course participants to inform instructors of any health conditions that may affect his or her involvement in a
course. The FES safety systems have been developed and are imposed to ensure the safety of course participants. Comfortable clothes, solid/closed footwear to be worn to all training
courses. The instructor may refuse the involvement of any course participant in an activity if the instructor is of the view that the participant's health or ability to undertake
certain tasks may be compromised.
Disclaimer
FES will not be liable for any personal injury suffered, or damage caused to the property of any course participant or organisation, including economic loss, except to the extent that
the injury, damage or economic loss is caused by the negligence of FES.
Prices
Prices may be subject to change without notice
Cancellation and amendments
Written notice of cancellation is required more than 48 hours prior to scheduled course or appointment. Failure to give 48 hours` notice will result in the client being invoiced
the full price of the course. Note that failure to pay prior to the course does not constitute cancellation. Changes to course delivery dates can occur on a maximum of two occasions
before a charge is incurred.
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