1065 Ahua Street Honolulu, HI 96819 Phone: 808-833-1681 FAX: 839-4167 Email: info@gcahawaii.org Website: www.gcahawaii.org Date & Time: June 16 and 18, 2015 7:30 a.m. Registration 12:30 p.m. Ends OSHA 10 Hour For the Construction Industry The OSHA 10 class is a Department of Labor OSHA authorized course, which covers introduction to 29 CFR 1926. Location: GCA Conference Room 1065 Ahua Street, Honolulu This course provides an overview of safety requirements for most construction activities that will include and introduction to OSHA and the following topics: Cost: $95 for GCA members $130 for non-members Please RSVP by June 5, 2015. Class space is limited and reserved on a first come, first served basis. Please note!! If you cancel your registration at least five (5) days prior to the class, GCA will provide a full refund. No refund will be provided if you do not meet this deadline, however you may transfer your registration to another employee within your organization. OSHA Focus Four Hazards, (Fall Protection, Electrical, Struck By, Caught in between) Scaffolds, Fire Protection and Prevention Personal Protective and Lifesaving Equipment, Protective Structures and Overhead Protection Concrete and Masonry Construction Health Hazards in Construction Hazard Communication Excavations Stairways and Ladders Safety Confined Space Entry Ergonomics Materials Handling Storage, Use and Disposal Tools - Hand and Power Welding and Cutting Signs, Signals and Barricades Silica Cranes, Derricks, Hoists, Elevators, and Conveyors Please see attached for the registration form. 1065 Ahua Street Honolulu, HI 96819 Phone: 808-833-1681 FAX: 839-4167 Email: info@gcahawaii.org Website: www.gcahawaii.org The General Contractors Association of Hawaii Presents: OSHA 10 Hour For the Construction Industry June 16 and 18, 2015 Registration Form If you did not receive a confirmation, please call 833-1681. NAME: Email: NAME: Email: NAME: Email: NAME: Email: CONTACT: Email: Company: Address: City: State/ZIP: Phone/fax: Cell: LOCATION: The course will be held at GCA Conference Room, 1065 Ahua Street, Honolulu, HI 96819 TIME: 7:30 a.m. – 12:30 p.m. PAYMENT INFORMATION: (Payment must accompany registration to secure seat) Registration fee includes breakfast and Participant’s handout for the course. Registration Deadline and Cancellation policy: The registration deadline for this program is June 5, 2015. If you cancel your registration at least five (5) days prior to the class, GCA will provide a full refund. No refund will be provided if you do not meet this deadline, however replacement is accepted. Registration Fee: TOTAL: o $95 for members (bill company) o Enclosed is a check for o Charge credit card on file o Charge my credit card (See attached CC Form) $ o $130 for non-members Make check payable to GCA of Hawaii 1065 Ahua Street Honolulu, HI 96819 Phone: 808-833-1681 FAX: 839-4167 Email: info@gcahawaii.org Website: www.gcahawaii.org PLEASE FAX WITH YOUR REGISTRATION FORM TO: 839-4167 CREDIT CARD AUTHORIZATION FORM NAME ON CARD: COMPANY: BILLING ADDRESS: CITY/STATE/ZIP PHONE: FAX: AMOUNT: CREDIT CARD TYPE: rVISA r MC r AMEX r DISCOVER CARD NUMBER: EXP. DATE: CODE: EVENT & LOCATION: DATE OF EVENT: SIGNATURE: DATE: CONTACT PERSON r Check box to request credit card receipt to be emailed @ ____________________________ r Check box to request original credit card receipt to be mailed. r Check box to request copy of credit card receipt to be faxed. FOR GCA OFFICE ONLY: RECEIVED BY: DATE:
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