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Safety Climate Tool - Purchase

Safety Climate Tool Purchase form

Title

If other please specify

First Name (Preferred) *

Surname *

Email Address *

Job Title *

Company *

Site *

Address ( for Licence ) *

Telephone Number *

Level of Licence applying for *

Postal Address - for CD Rom *

Any questions/comments

How did you hear about this product?

Would you be interested in hearing about HSL’s additional services (e.g. consultancy or training on the Safety Climate Tool)

Yes
No

Payment Method**

Invoice
Credit Card

Purchase order number (if applicable)

Accounts contact name and telephone number, if applicable

Address for invoice if different from above

I have read and accept Licence Conditions *

No I do not accept the Licence Conditions
Yes I do accept the Licence Conditions

View Licence terms and conditions

* Mandatory field
**If paying by credit card please telephone (+44) 01298 218356. If you prefer a company invoice, this will be sent to you on confirmation of the licence terms and conditions being accepted. At the moment, we are unable to accept on-line payments.

Further Information

If you would like assistance with the online purchase process, please call our Sales department on (+44) 01298 218356.

Once we receive your online purchase request, we will confirm receipt via email.

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Safety Climate Tool - Purchase

Safety Climate Tool Purchase form

Further Information