ACT Lighting - Application for Training 2013

 

In order to better tailor your training requirements to our range of classes we would like to take a couple of moments to get some basic information. Please be as honest as possible, as this will enable you to get the best from your time with us.

You can send this form electronically by clicking "Submit" or you can print it and fax it to (818) 707-0512.

Which console and course do you wish to take?


Which consoles do you currently use?


Do you or does your company currently own the type of console for which you would like training?
Yes
No

Please select the location where you would prefer to attend training:
Agoura Hills, CA
Hackensack, NJ
On-Site (additional charges may apply)

What would be the ideal dates for you to take the class? Required


What dates would be your second choice? Required


Why do you wish to take this course? Required


With what types of shows do you normally get involved? Required




Please provide us with some additional information.

Name: Required


Company (If applicable): Required


Address: Required


Phone:(ex.8187070884) Required


eMail: Required