Registration Form

                                                            Prep Course for NJ Electrical Contractors License

Name: ______________________________________________________

Address: ____________________________________________________

City________________________ State_______ Zip Code_____________


Home #:_________________ Cell #:__________________E-Mail: _________________

Tuition for the 11 day course is $625.00.

8 Code Classes

1 Alarm Class

1 Business and Law Class

1 Review, Question and Answer

Classes are from 6:00pm to 9:00pm

If you took the test on your own and need some help. Just give us a call we can help.

Please bring the following: pad, pen, highlighter marker, and calculator

Location of all classes: Swift Electrical Supply, 100 Hollister Road, Teterboro, NJ 07608

Make Payment payable to:  Scott Pomarico

Mail check and registration form to: P.O Box 82 Hasbrouck Heights, NJ 07604

No refund after 1^st class. Phoenix Safety & associates, LLC reserves the right to cancel any class and reschedule or fully refund all payments.

It is the responsibility of the student to complete and submit an application to the Board of Electrical Examiners for approval to seat for the exam.
Call board at 973-504-6410 Recorders, cell phones, Audible beepers, and duplicators are not permitted in class.



 Signature X_________________________


The following Books are used in this course. (Prices may change without notice)