|
New
Student Registration Form
Please fill in the form below if you do not have a NEW technician # or do
not know your NEW technician #. You MUST have an email address to complete
this form. A free email address can be set up at
www.hotmail.com.
This registration form is required for all Gilbarco, Red Jacket, Gasboy
and Veeder-Root technicians who do not have or do not know their NEW
technician #. Unless you are a brand new technician, you most likely have
already been assigned a NEW technician #. Simply fill out the form
below and we will email your NEW technician # to you, along with complete
instructions on how to get to our new online Learning Management System.
When you have completed this form, MAKE A COPY FOR YOUR RECORDS,
then you may use any one of these ways to get it to the Training
Registrar:
|
VIA MAIL
(1-2 weeks to process) |
VIA FAX (BETTER)
(1 week to process) |
VIA EMAIL (BEST)
(24 hours to process) |
|
Gilbarco, Inc.
Attention: Technical
Training Registrar, F-43
7300 West Friendly
Avenue
Post Office Box 22087
Greensboro, NC
27420-2087 |
Attention: Technical
Training Registrar
336.547.5377 |
technicaltraining@gilbarco.com |
NOTE: If you are completing
this form to give to a Certified Trainer, then just print it and give it to
the CT; they will take care of delivering it to the Training Department.
|
Your Full Name: |
|
Any old Technician
#s you may have: |
|
|
|
|
|
|
|
|
Email Address:
(required) |
|
ASC # |
|
|
ASC Name |
|
|
Full Mailing
Address: |
|
|
Office Phone: |
|
Cell Phone: |
|
| |
|
|
|
|
|
