GCAP Registration Form

Please complete this registration form for any of GCAP's training courses.

If you need assistance please contact GCAP at 620-271-0037 or at GCAP@AmmoniaTraining.com

Company Information:

Company Name *

Contact Person *

E-mail Address for Contact Person *

Phone Number for Contact Person *

Fax

Corporate Accounts Payable Address: *

Plant's Mailing Address: *

Payment Security Information:

Purchase Order Number or pre-payment REQUIRED

Fax or Email A Copy of The Purchase Order to 620-271-0484 or GCAP@AmmoniaTraining.com

Make Purchase Order Payable to :

G.C.A.P. LLC (Garden City Ammonia Program)
P.O. Box 2336

Garden City, KS U.S.A 67846

Purchase Order Number

Click Here For Different Payment Options

Credit Card (You will receive a payment link via email) A 3.5% convenience fee will be applied.

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Discount Code:

Select Course Below:

Special Events

	13th Annual Ammonia Safety Day
*

Boiler Level I

	Course with 5-Night Hotel Stay		Course Only
*

Boiler Level II

	Course with 5-Night Hotel Stay		Course Only
*

Introduction to Ammonia Refrigeration

	Course with 3-Night Hotel Stay		Course Only
*

Ammonia Operator I

	Course with 5-night Hotel Stay		Course Only
*

Ammonia Operator I - SPANISH

	Course with 6-Night Hotel Stay		Course Only
*

Ammonia Operator II

	Course with 5-Night Hotel Stay		Course Only
*

Operator III/RAGAGEP

	Course with 5-Night Hotel Stay		Course Only
*

Ammonia Technician I
Must have approved Operator I & II credentials

	Course with 5-Night Hotel Stay		Course Only
*

Advanced RETA Refresher
Preparing for CIRO Examination

	Course with 4-Night Hotel Stay		Course Only
*

(PSM/RMP) Implementing Process Safety Management for Ammonia Refrigeration Systems

	Course with 5-Night Hotel Stay		Course Only
*

CO2 Technician

	Course with 5-Night Hotel Stay		Course Only
*

Boiler Level I/Ammonia Operator I Bootcamp

	Course with 9-Night Hotel Stay		Course Only
*

Ammonia Operator I/II Combined (Ammonia Bootcamp)
Attendees Must Have at Least 2 Years of Industry Experience

	Course with 8-Night Hotel Stay		Course Only
*

Online Training
All courses (excluding Hazwoper, Refresher, and Awareness) have an additional course book shipping fee of $20.00.
Course books will only be shipped within the continental United States.

	Online Course
*

____________________________________________________________________________________________

Student's Information:

Student's name *

Student's email Address

Student's phone number *

Student's name

Student's email Address

Student's phone number

Student's name

Student's email Address

Student's phone number

Student's name

Student's email Address

Student's phone number

Courses: You may substitute participants, but cancellations will not receive a refund. A 30% rescheduling/cancellation fee will apply if rescheduled/cancelled less than 45 days prior to scheduled class date.

R-717 Inn Extended Stay: We're unable to refund any payment for no-shows or early checkout.

Student's Supervisor Information:

Student's SUPERVISOR'S NAME *

SUPERVISOR'S phone number *

SUPERVISOR'S email address

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Additional GCAP Divisions:

If you would like to be contacted by another GCAP Division, please indicate.

Once you have submitted this form, the GCAP office will contact you within 1 business day. (Our business days are Monday through Friday)

Thank you for choosing GCAP, the World's leader in Industrial Technical Training.