WRECKMASTER'S

COMPANY PORTAL

CLASS PACKAGE ORDER FORM

Name(Required)

First Last

Enter the first and last name of the person placing the order for the student packages.

Email(Required)

Please enter your email address.

Select Training Packages to ship.(Required)

Select the training package you would like to order. If you need different levels of packages you will have to enter an order for each.

Quantity(Required)

Please select the quantity of the training packages you wish to have shipped.

Include Student of the Class Plaque(Required)

Indicate if you would like a student of the class plaque shipped with the order.

Class Packages are to be used at.(Required)

Please enter the class date and location the class packages are to be used.

Package sent to the attention of(Required)

First Last

Please indicate the name of the package that should be shipped.

Ship to Company Name(Required)

Please enter the company name the package will be shipped.

Ship to Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Please enter the shipping address for the training packages.

Date Order need to ship before

Please enter the date the order needs to ship before

Select type of shipping(Required)

Ground

Expedited

Overnight

Select the type of shipping for the order. All orders will be sent by ground if time is permitting.

Order Notes

Enter any order note here.

Shipping

Total