BlackDiamond Installer Exam

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27 Questions

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First Name

Last Name

Installer ID

Address

Phone Number

Is this a new certification or a re-certification?

Did you participate in hands on training within the last two weeks?

If you participated in hands on training in the last two weeks, who was your trainer and please include the company the trainer works for. If you did not participate please write "n/a".

Email of OQ/Safety Officer

Birthdate MM/DD/YYYY

Your Company Name

Your Email