Name

Email Address

Contact Phone Number

Name of Your Organisation

Your Role or Position in Your Organisation

Number of Electrical Workers in the Organisation Number of Electrical Workers in the Organisation 1 - 5 6 - 10 11-20 21 - 30 31 - 40 41 + please write number of workers below

Please tell us a bit about the electrical training needs of your organisation, your industry, the type of work you carry out, topics and standards you would like to have in your training package, number of training supervisors you would like, and anything else you would like to tell us.