Training Request

Request for Quote
Please complete the following form so that we can provide you an accurate quote. Any fields marked with a "*" are required fields and must be completed before submitting.

Section One

* Indicates required field

First, tell us who this quote is for:

Request Type *

Personal Quote Corporate Quote

Next, tell us a little bit about yourself and/or your company.

Requestor's Name *

First

Last

Student's Name *

First

Last

Company Name *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Address Type *

Company Personal

Phone Number Type *

Work Home Cell

Personal Email *

If you would like your quote sent to your company's accounting department, please provide an email below:

Company Email *

Section Two

Tell us a little bit about your Electronics background and experience.

Do you have experience in the Electronics Manufacturing industry? *

Yes, I have experience No, I'm new to this industry

If you answered "Yes", tell us how long. *

1-2 Years 2-5 Years 5-10 Years 10+ Years

Do you have Solder Skills? *

No, I do not have solder experience Yes, but only minimal experience Yes, I have extensive experience

If you answered "Yes", tell us how long. *

1-2 Years 2-5 Years 5-10 Years 10+ Years

Is this your first IPC certification? *

Yes No

If you answered "No", please tell us the date of your last certification and where you were certified. *

Section Three

Provide the details of your request.

Requested Class Date *

Number of Students *

Additional Comment *