CE CLASS REGISTRATION

CONTINUING EDUCATION FOR TEXAS ELECTRICIANS

TDLR Provider #1081, Course #28634
IEC El Paso Office, 1156 Barranca Drive 79935
Name*

First NameLast Name
Email
example@example.com
Phone Number*
Please enter a valid phone number.
Which date would you like to attend?

Saturday, January 11th @ 8 am
Do you work for a non-IEC El Paso Contractor Member or no contractor?

YesNo
Are you a past graduate of the IEC El Paso Apprenticeship Program?

YesNo
Which IEC El Paso Electrical Contractor Member do you work for?
IEC El Paso Contractor Members
Type of Electrician License*
TDLR Electrician License Number*
Please enter your license number
Please upload a picture or file of your Driver's License and TDLR License

If you are not able to upload your licenses please bring them to the office so we can make copies
Cancelof
Payment must be made before the day of class to reserve your spot in the class. If you have any questions, please contact our office at 915-592-4210.

Class Cost*

Contractor Member PriceIEC Contractor Member Price/Past Graduate Price

$30.00

Non-Contractor PriceNon IEC Contractor Member Price

$40.00

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

CONTINUING EDUCATION FOR TEXAS ELECTRICIANS