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:

One Day or Two Night Continuing Ed Class                     $70.00

Continuing Ed Correspondence                     $ 105.00 (standard postage)
Course Material for '07 - '08 / '08 - '09 / '09 - '10, 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                     $125.00

Med Gas Endorsement Certification                     $ 400.00
This 24 hour class does not include 8hrs of additional brazing practice required by the Board

Multi-Purpose Residential
Fire Sprinkler Specialist Endorsement Certification                     $ 400.00
This new 24 hour class qualifies Journeymen & Masters to apply for their endorsement to install domestic
water piping in one & two family dwellings that includes openings for residential sprinkler heads.

OSHA 10 Hour Class                      $ 150.00
This class fulfills 10 hours of the required 24hrs for Tradesmen & 48hrs for Journeymen

Trades/Journeyman 8 Hour IRC Code Class                     $ 150.00
Residential Code Class fulfills 8 hours of the required 24hrs for Tradesmen & 48hrs for Journeymen

Journeyman 18 Hour IPC & UPC Code Class                     $ 300.00
International / Uniform Plumbing Code Class fulfills 18 hours of the required 48hrs for Journeymen

Master 16 hr Study Course                         $450.00

Inspector 16 hr Review Course                       $450.00

Inspector 40 hr Study Course                       $625.00

Date & Location of Class:                                                                                                                              

Method of Payment:                                             Amount Enclosed: