CWTC Page 10.

Construction Workforce Training Center Office: 432-366-7676 Cell: 432-967-4280

Form

Continuing Education Registration Form

Name*

prefix

first name

middle name

last name

Email*

eg. xyz@domain.com
Choose CE Class*

Address*

Address Line 1
Address Line 2
City	State
Zip Code	Country

What License do you currently hold?*

Apprentice - $25

Residential - $40

Journeyman - $40

Master - $40

Contractor - $40

Other State LIC - $40

Would you like us to email you about future classes? *

Yes

No

Comments or Questions*

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