Clone of Drives On-Site Training Questionnaire

Drives Road Show Questionnaire
This Drives Road Show Training Questionnaire is the first step in scheduling a Road Show training class. Nothing happens until we receive a completed questionnaire.

Once received, the Road Show Product Training Engineer will contact you to discuss the training details and date(s) for the training class(es). Next, the PTE will create a quote for your road show class(es) and send it to you via email.

Sign the quote and return it with your purchase order and you're on the Road Show schedule!!

Let's get started! Simply answer the following questions as they relate to you.
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*
Your Road Show Proposal Information
Approximately, when would you like to schedule the Road Show session(s)?*
How many Road Show sessions are you interested in holding?*
How many students will be in attendance for each session? *
Start Time of the Session*

(Local Time Zone) Typical 8:00am

AM/PM Option
End Time of the Session*

(Local Time Zone) Typical 4:00pm

AM/PM Option
Name of Company or Location Where the Road Show(s) Will Be Held*
Address where the Road Show(s) 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*
Road Show Class Materials

We will not ship to a hotel address!
If the class materials ship-to address is the same as the Road Show session address, select YES and leave the class materials ship-to address blank.

Yes, it is the same address (you can leave below blank)

If the class materials ship-to address is different than the Road Show session address, select NO and complete the class materials ship-to address and ship-to attention information below.

No, the address is different (you must fill out address below)
Class Materials Shipping Address is same/different than the Session Location*
We will not ship to a hotel address!
Name of Company to ship the Road Show class materials
Address to ship the Road Show class materials

Street Address

Street Address Line 2

CityState

Zip Code
Ship to Attn:
Ship to Attn: Office Phone
Format: (000) 000-0000.
Ship to Attn: Cell Phone
Format: (000) 000-0000.
Ship to Attn: Email Address
We will not ship to a hotel address!
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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.
Should be Empty:

Drives Road Show Questionnaire

Your Contact Information

Your Road Show Proposal Information

Road Show Class Materials

We will not ship to a hotel address!