REGISTRATION
School of Boiler Technology (www.boilerschool.net)
 
Date:_______________
 
 
Please register my name as a student in your online school of boiler technology:
 
PARTICULARS
Name:
Address:
City:
State:
Zip:
Phone:
Fax:
E-mail:
 
 
PROGRAM (please check only one)
_____ Low Pressure Operator ($350)
_____ High Pressure Operator ($450)
_____ Third Class Engineer ($550)
_____ Second Class Engineer ($650)
_____ First Class Engineer ($750)
 
 
Method of Payment by Check or Money Order:
 
Check or MO #_____________ $_______________, attached herewith.
 
 
 
Please PRINT, fill out this form, and mail it along with your check to:
 
 School of Boiler Technology
 P.O. Box 37369
 Tallahassee, Florida 32315
 USA
 
I hereby agree that I will study the program for 40 hours, will do necessary project
work and take the tests in order to complete the certification program.
 
Signature: ______________________________