On-Site Service and Training Request Form

On-Site Service and Training Request Form

Please populate as many applicable fields as possible.

Please choose type of assistance desired:

Training

For Training requests; please populate as many fields of this form as possible, and email to not less than 30 days before the requested class date.

This is to ensure training materials can be sent out and received on time, and to give the instructor ample time to coordinate the visit.

Service

For onsite Service requests; please populate as many fields of this form as possible, and email to at your earliest convenience

Dealer Information Jobsite address (report to)

Company Name
P.O. Number
Address
City
State
Zip code
Requesting Party
Point Of Contact
Contact Email Address
Contact Phone Number

Please check if dealer and jobsite addresses are the same information are the same

Please indicate type of training desired (warranty, technical, operation, maintenance, etc…)

Model and Serial #’s that require Service or Training: (This field is required if requesting service)

Model Number (s)
Serial Number (s)

Ship parts / training material to address if different from above:

Work Site Address:

Are there any special Site-Specific Security Guidelines or procedures? Yes No If Yes, Provide Details Below:

(over)

Desired onsite Dates and Times

Date: / Time:

*Desired dates will be scheduled and confirmed based on resource availability.

If you are requesting training, before you decide on a date range please consider class time requirements.

Typically Monday and Friday are reserved for travel unless special arrangements with the Vanair representative are made in advance.

Personal Protective Equipment required: (Check all that apply) Arc Flash Protection Hardhat Safety Glasses Safety Shoes Face Protection

Goggles Ear Plugs Respirator Gloves Clothing

Air Monitor Nomex Suit

Travel Information:

Recommended Airport / City:

Accommodations:

Recommended Hotel:

For training number of participants attending:*

*Please see class descriptions, as maximum allowable class sizes vary)

Will a Projector be available for Trainer use? Yes No

Requirements

*Hands-On Training requires working equipment, fueled equipped with LOTO and a section of hose including a discharge silencer.

Due to safety reasons hands-on training cannot be provided if training equipment does not meet these requirements.

Note: If Vanair factory based training is what you desire, a calendar schedule and enrollment form can be found at the following Vanair web page. http://vanair.com/index.php/support/vanair-sales-university.html

Thank you for your interest in Vanair and our factory service and training.