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Training Registration Form T.D. Williamson, Inc. T.D. Williamson, Inc. ║ P.O. Box 3409, Tulsa OK 74101 ║ (918) 447-5000 ║ Fax: (918) 446-6327 ║ www.tdwilliamson.com Email completed form to: [email protected] General Information Company Name: # of Trainees: Training Location: City, State, Zip: Contact Name: Contact Email: Phone: Cell: * Each class will have a minimum of 5 and a maximum of 10 students from single or multiple registered participants Class Selection LINEMASTER™ Class Title Dates Pigging Technology March 29-31 May 10-12 June 21-23 July 12-14 September 13-15 October 11-13 November 8-10 T-101 April 11-12 April 14-15 July 6-7 August 15-16 August 18-19 Distribution Equipment Overview April 4-7 August 29 – September 1 Transmission Equipment Overview March 28-31 August 22-25 RES-Q ® Composite Wrap for Pipelines and Process Piping Scheduled by request LineMaster™ Performance Verification (Written Test & Observation) May 23-27 Customer Site Training Scheduled by request List of Attendees # Last Name First Name Dietary Restrictions? Phone Email 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Billing Information Payment Method: Credit Card Purchase Order Purchase Order should be attached to Training Request Form. If paying by credit card, you will be contacted by TDW to coordinate payment. Please Note: In order to confirm registration, a completed purchase order must be submitted to [email protected]. Note: Registration can be cancelled up to 15 business days prior to the training class scheduled date without a service charge. Any cancellation notice received after that time will be charged $295 per student. Purchase Order #: Attention: Billing Address: Billing City, State, Zip Addtional Information Specific PPE Required Transportation Accommodations Smoke-Free Facility Contact Information Steel Toed Shoes (student to bring to class) Safety Glasses (Provided by TDW) Hard Hat (Provided by TDW) Hearing Protection (Provided by TDW) Address TDW Training Technology Center 6801 South 65th West Ave. Tulsa, OK 74131 Transportation Please note that TDW does not provide shuttle service to and from TDW facilities. Transportation should be arranged on your own. Recommended Hotels Holiday Inn Express 150 Aquarium Drive Jenks, Ok 74037 Ph: 918-296-7300 Fax: 918-296-7301 www.hiexpress.com Hampton Inn & Suites 7004 S. Olympia Ave West Tulsa, Ok 74132 Ph: 918-340-5000 Fax: 918-340-5001 www.tulsasouthsuites.hamptonin n.com All Tulsa TDW facilities are smoke-free. This applies to all company buildings, parking lots and vehicles parked on campus. Lighting, smoking or carrying a lighted or smoldering cigar, cigarette or pipe of any kind and/or chewing tobacco or snuff is prohibited. Smoking is permitted off property. If you have any questions or concerns, please contact Patty Gauldin. Training Coordinator Contact Information: Patty Gauldin 918-447-5377 [email protected] Trainer Contact Information: Tom Giles (918) 230-9649 [email protected]

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Page 1: Training Registration Formtdwexternalwebsite-stage.azurewebsites.net/content/... · 2 days of actual training and testing, with an optional 3rd day for Operator Qualification Certification*

Training Registration FormT.D. Williamson, Inc.

T.D. Williamson, Inc. ║ P.O. Box 3409, Tulsa OK 74101 ║ (918) 447-5000 ║ Fax: (918) 446-6327 ║ www.tdwilliamson.com

Email completed form to: [email protected]

General Information Company Name: # of Trainees:

Training Location: City, State, Zip:

Contact Name: Contact Email:

Phone: Cell:

* Each class will have a minimum of 5 and a maximum of 10 students from single or multiple registered participantsClass Selection

LINEMASTER™ Class Title Dates

Pigging Technology

March 29-31 May 10-12 June 21-23 July 12-14

September 13-15 October 11-13 November 8-10

T-101 April 11-12 April 14-15 July 6-7

August 15-16 August 18-19

Distribution Equipment Overview April 4-7 August 29 – September 1 Transmission Equipment Overview March 28-31 August 22-25 RES-Q ® Composite Wrap for Pipelines and Process Piping Scheduled by request LineMaster™ Performance Verification (Written Test & Observation) May 23-27 Customer Site Training Scheduled by request

List of Attendees # Last Name First Name Dietary

Restrictions? Phone Email

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

Billing Information Payment Method: Credit Card Purchase Order • Purchase Order should be attached to Training Request Form. If paying

by credit card, you will be contacted by TDW to coordinate payment.• Please Note: In order to confirm registration, a completed purchase

order must be submitted to [email protected]. • Note: Registration can be cancelled up to 15 business days prior to the

training class scheduled date without a service charge. Any cancellation notice received after that time will be charged $295 perstudent.

Purchase Order #:

Attention:

Billing Address:

Billing City, State, Zip

Addtional Information Specific PPE Required Transportation Accommodations Smoke-Free Facility Contact Information

Steel Toed Shoes(student to bring to class)

Safety Glasses(Provided by TDW)

Hard Hat (Provided byTDW)

Hearing Protection(Provided by TDW)

Address TDW Training Technology Center 6801 South 65th West Ave. Tulsa, OK 74131

Transportation Please note that TDW does not provide shuttle service to and from TDW facilities. Transportation should be arranged on your own.

Recommended Hotels

Holiday Inn Express 150 Aquarium Drive Jenks, Ok 74037 Ph: 918-296-7300 Fax: 918-296-7301 www.hiexpress.com

Hampton Inn & Suites 7004 S. Olympia Ave West Tulsa, Ok 74132 Ph: 918-340-5000 Fax: 918-340-5001 www.tulsasouthsuites.hamptoninn.com

All Tulsa TDW facilities are smoke-free. This applies to all company buildings, parking lots and vehicles parked on campus. Lighting, smoking or carrying a lighted or smoldering cigar, cigarette or pipe of any kind and/or chewing tobacco or snuff is prohibited.

Smoking is permitted off property. If you have any questions or concerns, please contact Patty Gauldin.

Training Coordinator Contact Information: Patty Gauldin 918-447-5377 [email protected]

Trainer Contact Information: Tom Giles (918) 230-9649 [email protected]

Page 2: Training Registration Formtdwexternalwebsite-stage.azurewebsites.net/content/... · 2 days of actual training and testing, with an optional 3rd day for Operator Qualification Certification*

Training Registration Form T.D. Williamson, Inc.

T.D. Williamson, Inc. ║ P.O. Box 3409, Tulsa OK 74101 ║ (918) 447-5000 ║ Fax: (918) 446-6327 ║ www.tdwilliamson.com

Class Descriptions LINEMASTER™ Class

Title Class Fee per

Participant Duration Course Schedule Course Description

Pigging Technology $1250*

2 days of actual training and testing, with an optional 3rd

day for Operator Qualification Certification*

8:30am - 4:30pm

The course is designed to provide general knowledge of the basics of pipeline pigging operations, the many different types of pipeline pigs available, how to select the proper pig for specific pigging operations, how to recognize and respond to abnormal operating conditions that may occur during a pigging operation, and how to launch & receive pigs in an operating pipeline. *NCCER CT-29 & AOC Performance Verification is $225.00 per student (Note: if performed during a non-scheduled class, an additional $500.00 will apply.)

T-101 $990 2 day 8:30am - 4:30pm Participants will receive in-depth training on the use and maintenance of this equipment.

Distribution Equipment Overview Hot Tapping & Plugging for Low Pressure Distribution Pipelines

$1980

3 1/2 OR 4 day *

*Instructional portion of class completes at noon

on last day and remainder will be

devoted to hands on repetitions, if requested

Day 1-3 8:30am - 4:30pm

Day 4*

8:30am - 12pm

OR 8:30am - 4:30pm

Hot Tapping and plugging operating instructions, applications and maintenance are covered. Training is conducted on the T-101 Drilling Machine, T-203 Tapping Machine or 660 Tapping Machine, SHORTSTOPP® II, SHORTSTOPP® 500 Plugging Machine and SHORTPLUG™ completion plug setting and retrieval is included.

Transmission Equipment Overview Hot Tapping & Plugging for High Pressure Transmission Pipelines

$1980

3 1/2 or 4 day *

*Instructional portion of class completes at noon

on last day and remainder will be

devoted to hands on repetitions, if requested

Day 1-3 8:30am - 4:30pm

Day 4*

8:30am - 12pm

OR 8:30am - 4:30pm

Hot Tapping and plugging operating instructions, applications and maintenance are covered. Equipment training for the T-101 Drilling Machine, 660 Tapping Machine, STOPPLE® Plugging Machine and LOCK-O-RING® and THREAD-O-RING™ plug setting and retrieval is included.

RES-Q ® Composite Wrap for Pipelines and Process Piping

$925 1 day 8:30am - 4:30pm

Students will learn the methodology for applying composite materials to damaged pipes in various geometry configurations including straight pipe, elbows, tees, reducers, etc. Basic composite and epoxy handling techniques are taught to help the students work with these materials efficiently and effectively.

LineMaster™ Performance Verification (Written Test & Observation) HOT TAPPING AND PLUGGING OPERATOR QUALIFICATION THROUGH PERFORMANCE EVALUATION

$1650 2 day 8:30am - 4:30pm

• The oil and gas industry has undergone a tremendous amount of change in recent years. As markets grow and expand into new areas, it is imperative that strict safety and environmental standards be observed during all phases of work. As a result, it is critically important for us at TDW to deliver the highest quality training and to assess our students in the most thorough way to assure that they are qualified to perform their covered tasks.

• Operator Qualification through hands on Performance Evaluations and knowledge-based testing are designed to assess an individual’s skill level on specific covered tasks.

• Performance Evaluations and Testing require a participant to demonstrate their skill in a controlled, observable, and measurable manner and are administered by TDW’s evaluators at the TDW Technology Center in Tulsa.

• Operator Qualification is offered to those companies who recognize/ utilize TDW LineMaster™ as part of their OQ Plan on Hot Tapping and Plugging. A TDW Certificate of Completion will be given to those who complete the performance evaluation(s) successfully.

• In the interest of Quality Training and Safe Field Operations, we have separated classroom instruction from Operator Qualification Performance Verification (OQPV) during the same week. LineMaster™ classes are training and OQPV assessments are testing and they are best conducted at separate times.

• We strongly recommend that your Technicians, using their new classroom knowledge, return to the field to gain experience before attempting their OQPV testing.

Customer Site Training

$100 *

* $2,450 per day of training

* $2,450 per day of weekend

travel * Plus

trainer(s) travel

expenses

Varies Varies Training classes can be conducted at the customer’s location tailored specifically for the equipment and applications the customer utilizes. A suitable training facility and training fixtures are required.

TRAINING USE ONLY Date Confirmed Students Confirmed PO Received CC Received

Notes: