HRST On-Demand Training Purchase Request 1Purchaser Information2Purchaser Information (cont.)3Selection & Payment Name / Nombre* First / Primer Nombre Last / Apellido Title / Titulo*Company / Plant Name – Compañía / Nombre de Planta*Work Address / Dirección de Trabajo** Street Address / Dirección Address Line 2 / Dirección Línea 2 City / Ciudad State / Province / Region – Estado / Provincia / Región ZIP / Postal Code / Código Postal AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country / País Phone / Teléfono*Fax*Email / Correo Electrónico* How did you find out about the course?* Postcard / Tarjeta Postal Social Media / Medios de Comunicación Social Brochure / Folleto Website / Sitio Web Boiler Biz Article / Artículo de Boiler Biz Word of Mouth / Boca a boca I am currently directly employed by an HRSG owner or operator / Actualmente estoy empleado directamente por un propietario u operador de HRSGs:* Yes / Sí No I'm Not Sure / No estoy seguro By submitting this registration, I acknowledge the following / Al enviar este registro, reconozco lo siguiente:-I am directly employed by an HRSG owner or operator. - Estoy empleado directamente por un propietario u operador de HRSG.I have read, and agree to be bound to, the above terms and conditions. / He leído, y acepto estar sujeto a los términos y condiciones anteriores.* Yes / Sí No We're sorry, this training is only for employees of HRSG owners and operators / Lo sentimos, esta formación es solo para empleados de propietarios y operadores de HRSGIf you have any questions, please contact Brenda Sirovy at (952) 767-8121 or via e-mail at [email protected]. Si tiene alguna pregunta, comuníquese con Brenda Sirovy al (952) 767-8121 o por correo electrónico a [email protected].Not sure? No problem! / ¿No estoy seguro? ¡No hay problema!Give us a call at (952) 767-8100 or email [email protected] and we'll help determine if you're eligible to register for HRST On-Demand Training! ¡Llámenos al comuníquese (619) 214-1869 o por correo electrónico a [email protected] y lo ayudaremos a determinar si es elegible para registrarse en HRST On-Demand Training! Attention! / ¡Atención!If you do not agree to be bound to the above terms and conditions, please close your browser and do not proceed. Si no acepta estar sujeto a los términos y condiciones anteriores, cierre su navegador y no continúe. Course Package* HRSG 101 - All topics - $800 per user HRSG Pressure Parts – Includes topics “Economizers & Preheaters, Evaporators, and Superheaters, Reheaters & Attemperators” - $300 per user HRSG Self Inspection – Includes topics “Control Room Data Assessment, Inspection Tasks Part I and Inspection Tasks Part II" - $300 per user Please select which course package you wish to purchase. The price shown is per user. You can indicate how many users you wish to purchase for below:Number of Users / Numero de usuariasPromo Code / Código Promocional Total $0.00 Billing Name / Nombre de Facturación*Billing Address / Direccion de Facturación* Same as Work Address / Misma que la dirección de trabajo Street Address / Dirección Address Line 2 / Dirección Línea 2 City / Ciudad State / Province / Region – Estado / Provincia / Región ZIP / Postal Code / Código Postal AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country / País Billing Phone / Teléfono de Facturación*Consent* I agree that the provided information is accurate.A HRST representative will reach out to coordinate payment with you.
