Registration Form

For a PDF Version of this form, click here.

1. Call (508) 760-1983 to register OR E-mail - RMBcapecod@aol.com.
   
2. Send this form along with check for:
   
   $139.00 ($129.00 if 60 or older) for: 15-HOUR MANDATORY CONTINUING EDUCATION REVIEW OF MASSACHUSETTS & NATIONAL ELECTRICAL CODE CHANGES;
   
   $149.00 ($139.00 if 60 or older) for either 6-Hour seminars:
   • NFPA 72, National Fire Alarm Code
   • NFPA 70E-Safety in the Work Place-Text Included
   • Calculations based on the 2008 NEC, Text Included
     
     
3. Confirmation postcards sent one week prior to seminar.
   
4. Out of state license(s): Add $10 Administration fee as required for Rhode Island, New Hampshire, and Maine.

THIS SCHOOL IS LICENSED BY
THE MASSACHUSETTS DEPARTMENT OF
ELEMENTARY AND SECONDARY EDUCATION,

ANY COMMENTS, QUESTIONS, OR CONCERNS SHOULD BE DIRECTED TO:
proprietary schools@doe.mass.edu or call 781-338-6048

FULL NAME EXACTLY AS IT APPEARS ON YOUR LICENSE:

YOUR NAME________________________________________

ME_____________________NH_____________________
VT______________________RI________________________

$10.00 Administrative fee as required for Rhode Island, Maine, or New Hampshire licensed students.

WHICH SEMINAR and LOCATION ___________________________

ADDRESS ________________________________

CITY _________________ ST ____ ZIP _______-____

PHONE (      )                         

MASTER #_{___________________________________________}

JOURNEYMAN #________________________

Registration:
Please make check or money order :

payable to "R.M.B. Seminars."

MAIL TO:

Cape Cod Electrical School

9 New Venture Dr., Unit 8,
South Dennis, MA 02660