To send us your payment:

Print this form, include your check and mail to:

Disaster Training International -
9400 Ravenna Ave. NE #7
Seattle, WA 98115

Check made payable to: Beryl Cheal

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Contact Person:

Telephone Number:

Agency requesting training:

Address:

Location of Training:

Requested Training Date(s):

Size of your group:

Title(s) of Training Session(s):

Additional information that could be useful for the trainer to more specifically focus the training for your group.

Date of request:

If you need to reschedule or cancel:

Please let us know at least 30 days before you need to reschedule or cancel a training session. If you notify us without giving 30 days notice we will need to charge a cancellation fee.