A-ACES              Study Course & CPE Registration Form

Date of Registration:                                          License #:                                                         

Name:                                                                                                                                                   

Address:                                                                                                                                              

City - State - Zip:                                                                                                                               

Contact Phone #:                                                                                                                             

Fax #: E-mail:                                                                                                                                    

Course you will attend:

Continuing Professional Education                       $70.00

Two Night Continuing Ed Class                     $70.00

Continuing Ed Correspondence                     $ 105.00 (standard postage)
Course Material for '06 - '07 / '07 - '08 / '08 - '09, for those that qualify    (Next Day Express / U.S.P.S. $140.00)

W S P S Endorsement Certification                    $ 150.00

Med Gas Continuing Ed Class                     $100.00

Med Gas Endorsement Certification                     $ 400.00
Does not include optional one day of brazing practice

One Day of Brazing Practice                      $  200.00
Not included in Cert Class price, based on current price of copper

Trades / Journeyman 16 hr Study Course                      $350.00

Master 16 hr Study Course                         $450.00

Inspector 16 hr Review Course                       $450.00

Inspector 40 hr Study Course                       $625.00

Date & Location:                                                                                                                              

Method of Payment:                                        Amount Enclosed: