Electronic Registration Form -
PLUMBERS CONTINUING EDUCATION
Robert (Bobby) D. Doran
1001 Haltom Road
Ft. Worth, Texas 76117
817- 222-1005 or 800- 445-1768
Fax: 817-222-1150
Registration Form
Please Complete and Send to PCETX. This form may be photocopied.
Sends a copy immediately to Registration:
* Required
Full Name
*
Your answer
Plumber Type
*
Journeyman
Apprentice
Master
Inspector
RMP
Tradesman
Other:
License Number
Your answer
Expiration Date
Your answer
Company or City Rep
Your answer
Mailing Address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Phone
Your answer
Desired Class Date
Your answer
Class Location (City)
Your answer
Email
Your answer
Class limited to 45 people: Please select your class
*
6 Hour CPE Class - $85.00
26 Hr. Apprentice Code Training Course - $385.00
40 Hr. Inspector & Master Code Training Prep Course - $505.00
24 Hour Multi-purpose Residential Fire Sprinkler Course $485.00
10 Hr. Apprentice Certified OSHA Course $125.00
CPE Correspondence Course $125.00
16 Hour Math, OSHA, LPG & TAS (ADA) Course $250.00
24 Hour - Responsible Master Plumber Course $485.00
24 Hour WSPS training and Certification -$485.00
24 Hour Med Gas & Vac Training - $565.00
2 Hour Re-certification for Gas & Vacuum Training - $155.00
Other:
Required
Check or PO#
Your answer
Amount Paying
Your answer
Paying With: American Express Master Card VISA Discover Check Cash
*
Your answer
Card Number:
Your answer
Expiration Date:
Your answer
Name on Card:
Your answer
CCV #(3 numbers on back):
Your answer
Zip Code on Card
Your answer
Your Signature
Your answer
Please make your check payable to Plumbers Continuing Education and mail to the address in the above header.
Checks may be mailed or received at the training class. Registration forms may be faxed, mailed, emailed or register by phone. Any further questions, call the number listed above or go to web site
www.pcetx.com
Press Submit Button for Confirmation of Class
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