54 Hour Review Course

Registration Form

Plumbing applicants must take this 54-hour review course prior to taking the state licensing exam.

"*" indicates required fields

Contact Name*

First Last

Contact Email*

Confirmation will be sent to this email address

Company*

Address*

Street Address Address Line 2 City State ZIP Code

Work Phone

Which session would you like to register for?*

How many employees will be attending the 54 Hour Review Course?*

Attendee Information*

First Name

Last Name

Position/Title

Cell Phone (Optional)

Attendee Information*

First Name

Last Name

Position/Title

Cell Phone (Optional)

Attendee Information*

First Name

Last Name

Position/Title

Cell Phone (Optional)

Attendee Information*

First Name

Last Name

Position/Title

Cell Phone (Optional)

Attendee Information*

First Name

Last Name

Position/Title

Cell Phone (Optional)

How will you be paying?*

Credit Card

Check

Credit Card*

Check Payment:

Please send payment for the total amount to:

ABC of Wisconsin
5330 Wall St.
Madison, WI 53718

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