First Name

Last Name


City                                                   Postal Code

Home Phone      Cell 

Home E-Mail Address where Courses are to be Sent.

Class of Study ? 1st class 2nd class 3rd class 4th class Applied Sciences

Exams Passed ?
Exams To Be Taken ?

Have your own copy of the PanGlobal (S.I.A.T.) text ? NO  YES
Shall We Order for You at a Discount Price ? NO  YES

Employer? Work e-mail ?
Work Phone? Work Ext.?

How Did You Here About Us?
Any Additional Information?

Please Accept my Application              Signature

Power Engineering Training Services Ltd.
2303 Hill Ridge Court, Suite 2
Oakville, ON, Canada
L6M 3N3
Telephone: (905) 825-5117 or 1 (866) 260-5117

After filling out the on-line form you can right click on the application, select print then mail it to the above address or right click, select all, copy, then paste into an e-mail to Administration