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Gehl Dynalift 552 - Page 39

Gehl Dynalift 552
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Order Form
Safety Training for Operators of Rough
Terrain Forklifts
OPERATOR TRAINING KIT (P/N 908405)
Includes: Instructors Guide, Agenda, Objectives and Goals Sheet, Instructors
Resource Guide, Evaluation Test, Evaluation Log Book, Student Material
Sets (5), Visual Aids (PowerPoint
®
Disk, Overheads, Charts), EMI Rough
Terrain Forklift Safety Manual
PRICE
English: $160.00 ea. *
Spanish: *
ADDITIONAL STUDENT MATERIALS (P/N 908406)
(NOTE: 5 Sets included in OPERATOR TRAINING KIT)
Includes: Operators Workbooks (5), Operator Certificates of Completion (5),
Operator Wallet-Size Complation ID Cards (5)
PRICE
English: $80.00 ea. *
Spanish: *
ADDITIONAL VISUAL AIDS (P/N 908426)
(NOTE: Set included in OPERATOR TRAINING KIT)
Includes: PowerPoint
®
Disk (1), Overheads (26), Oversize Visual Charts (6)
PRICE
English: $48.00 ea. *
Spanish: *
Qty Description Cost Each* Total
_ _ _ _Operator Training Kits (English) . . . . . .@ $160.00
= $
_ _ _ _Operator Training Kits (Spanish) . . . . . .@ $ * = $
_ _ _ _Additional Student Materials (English) . .@ $ 80.00
= $
_ _ _ _Additional Student Materials (Spanish) .@ $ = $
_ _ _ _Additional Visual Aids (English) . . . . . . .@ $ 48.00 = $
_ _ _ _Additional Visual Aids (Spanish) . . . . . .@ $ = $
Order Processing Fee . . . . . . . . . . . . .@ $ 10.00 = $
Sales Tax ** (Wisconsin Only - 5.5%) . . = $
Total = $
Sales Tax *
For orders within the state of
Wisconsin, add 5.5% for the
state sales tax.
Billing Information
Name:
Company:
Address:
City: State: Zip Code:
Phone No.: ( )
Fax No.: ( )
Check Enclosed
Credit Card: Visa Mastercard
Card No.:
Expiration Date:
Authorized name as appears on card (PRINT)
Signature:
Shipping Information (if different from billing information):
Company:
Name:
Street:
City: State: Zip Code:
Country:
Phone No.: ( ) FAX No.: ( )
* Call for current prices.
NOTE: Price includes shipping by U.S. MAIL of UPS - Ground. Express delivery is available for an additional charge.
FAX or Mail to: Ken Cook Co. Telephone: (414) 466-6060
9929 W. Silver Spring Drive FAX Number: (414) 466-0840
Milwaukee, WI 53225 Website: http://www.kencook.com
Attn: EMI/RTFL Dept.
(Remove this page at perforation to use as Fax or Mail sheet)
PRINTED IN U.S.A. 37 908424/AP500
Courtesy of Crane.Market

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