Residential Appliance Installer Prep Course
Friday, October 15th, 2010 7:30am to 5pm
The Edge Training Facility (next to SCP Plano)
1212 10th St. Suite B
Plano, TX. 75074
Fax Completed form to 972-475-8047
or email it to ntc.apsp@att.net
YOU WILL BE REQUIRED TO HAVE A SOFTBOUND COPY OF THE NEC 2008 FOR THE PREP COURSE (NOT INCLUDED).
Please Print
Name:____________________________________________
Address:__________________________________________
Phone Number:_____________________________________
Fax:______________________________________________
Email:____________________________________________
Payment Information
Credit Card Type (circle) Visa MasterCard Amex
Card Holder Name :____________________________________
Billing Address:______________________________________
Card Number:_________________________________________
Card CSV code:_______________________________________
Expiration Date:______________________________________
Amount Members:$250.00___________Non-Members:$300.00
Signature:___________________________________________
Cancellations must be made by October 11th, 2010.
NO REFUNDS WILL BE GIVEN AFTER THIS DATE.