| PAY BY
CHECK FOR ONLINE ELECTRICIAN COURSE |
|
NAME_____________________________________________________ |
PHONE #____________________________________ |
|
ADDRESS__________________________________________________ |
CITY____________________ |
ZIP______________ |
|
NAME ON LICENSE__________________________________________
|
TDLR LICENSE #_____________________________ |
| LICENSE TYPE (circle
one)
ME
MS
JE
JS
MN
RW
|
| EMAIL
ADDRESS__________________________________________________________________________________________ |
|
MAIL THIS WITH
$25
CHECK OR MONEY ORDER TO:
TXMHS P.O. BOX 422 BEDFORD, TX
76095
|
|
AND TXMHS WILL EMAIL YOU A COUPON CODE TO TAKE ELECTRICIAN ONLINE
COURSE
|
| |