Payment Form

Payment Form Upon Completion

Congratulations. You have decided to invest in yourself. Adding to your abilities to do electrical work can pay great returns. By signing below you certify that you have completed all course requirements.

I certify that I have completed the final exam without assistance obtaining a score of 90% or better.

signed ______________________________________________________

Note: If you have made an advance payment, send no money. Your certificate will be sent quickly.

Send your payment in the amount of $25 to:

David U. Larson
1342 SW Patricia Avenue
Port St. Lucie, Florida 34953-4903

You can also pay with a credit card. Use this PayPal button. Click on it to make your payment with any credit card. If you use PayPal, please be sure your address is correct. 

Or print and send this form.
Name and address for your certificate of completion:

____________________________________________________

____________________________________________________

____________________________________________________

email ______________________________________________

Thanks.
David U. Larson

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