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NSA On-line Class Enrollment Application - Texas '08
Applicant's Name (up to 5) & Social Security No. (required): Privacy Policy
Company Name:
Company Address :
City :
State :
Zip:
e-Mail:
Phone:
Fax:
Class Location
Payment: Company Check, Visa, or Mastercard.
Checks must be received 72 hours before class date.
Member Pricing:
Level 1 - 16 hour class / 2 days $99.00
Continuing Education (CEC) - up to 8 hours $99.00 (take any parts, mix / match)
Fire Alarm 101 Test Prep (CEC) - 8 hour class $99.00
Non-Member Pricing:
Level 1 - 16 hour class / 2 days $179.00
Continuing Education (CEC) - up to 8 hours $129.00 (take any parts, mix / match)
Fire Alarm 101 Test Prep (CEC) - 8 hour class $129.00
Instant Annual Membership to NSA $95.00
Class Type: (choose only one)
Level 1 - 16 hour class
Continuing Edu (CEC) - 8 hour - Day 1 Ethics, Basic Alarm Install; False Alarm Prevention
Continuing Edu (CEC) - 8 hour - Day 2 Ethics, Fire Alarm, Central Station
Fire Alarm 101 Test Prep - 8 hour class - NFPA 72 Review; Ethics
Additional Items:
NFPA 72 '02 ed. book $50.00 (must either buy one here or bring your own to the class)
Late Registration (less than 72 hours before class) $20.00
Course Certificate Mounted on Wooden Plaque $19.95 (+ 5.00 s&h)
Comments: (if any)
Credit Card Number and Expiration:
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