New Customer Registration Form

Drives On-Site Training Questionnaire
This Drives On-Site Training Questionnaire is the first step in reserving a date to host a Yaskawa training class. Nothing happens until the training department receives a completed questionnaire.

Once this questionnaire is received, you will be contacted to discuss the training details and date(s) for the training class(es). At that time, you will receive a quote for the class. Sign the quote and return it with your purchase order and you're on the Training calendar.

Let's get started!
Your Contact Information
Your Full Name*

First NameLast Name
Company Name (No Abbreviations Please)*
Office Phone Number*
Format: (000) 000-0000.
Cell Phone Number*
Format: (000) 000-0000.
E-mail Address*
Your Yaskawa Sales Contact*
Training Class Information
How many training sessions are you interested in holding?*
Each session will consist of how many days?*
What date(s) would you like to schedule the training session(s)?*
How many students will be in attendance for each session? *
(Maximum 18 per session)
Start Time of the Session*

(Local Time Zone)

AM/PM Option
End Time of the Session*

(Local Time Zone)

AM/PM Option
Name of Company or Location Where the Class Will Be Held*
Address where the class will be held*

Street Address

Street Address Line 2

CityState

Zip Code
Name of Onsite Contact Person*
Onsite Contact Person Office Phone*
Format: (000) 000-0000.
Onsite Contact Person Cell Phone*
Format: (000) 000-0000.
Onsite Contact Person Company Name*
Onsite Contact Person Email Address*
GA500GA501FP605GA800U1000MV1000HV600HV600 BYPASSZ1000UiQpump605iQpump1000Other
Electrical Maintenance or E&I TechMechanicElectricianElectrical EngineerApplication EngineerSales EngineerField Service EngineerInside Technical SupportMachine OperatorOther
Installation, Start-upApplication Integration and Parameter SetupField Troubleshooting (understanding fault codes)Unit troubleshooting (to determine damaged components)Sales and Explanation of the ProductNetwork CommunicationsOther
HV600 Startup SpecialistiQpump605 Startup SpecialistIndustrial Drives Certified Drive Specialist (CDS)Authorized Service Provider (ASP)
Anything else we should know about?
Contact us at training@yaskawa.com or 1-800-YASKAWA if you have any questions.
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Your Contact Information

Training Class Information