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Information Request Form For more information via email, please click here.

On-Line Enrollment Form

You can register for the Exam Prep course securely here:AETech.com Electrical Bookstore

Pre-Registration: (Please print)

Name: ________________________________________ Electrical Lic. # __________

Address: ______________________________________

City: __________________ State: __________________ Zip: _________________

Telephone: ________________ Evening telephone: ________________ Fax: __________

email: _____________________________

Date of class : ___________________________Amount of class: _________________

cost of text book, if needed: ___________________ code book: _____________

Total: ______________________

If using credit card circle one: Visa- Master Card- Discover/Novus- American Express

Account number: _____________________________________ Expiration date: ________

Account name on card: ____________________________Signature: ________________

• Mail full payment by check or credit card with this form, or fax this form to (605) 342-9087 and mail payment to Arne Electro-Tech PO Box 2272 Rapid City, SD 57709. If registering less than 10 days in advance, please call us to confirm. 1-888-603-5050 toll free.
• Or- you may call us to register in advance, and pay at the door.
• If you will be traveling to the seminar site, call us to see if there is a motel that will provide you with a seminar discount rate.
• In Rapid City, call (605) 342-9088.
• Our classes are pre-approved for Electrician License renewal credit in South Dakota & Wyoming.