Electrical Experts Consulting
Durbins Internet Learning Modules
Please use this form to register for one of classes and reserve you place in the class. Be sure to fill out all of the boxes so that we can contact you with updated information about classes.
If you are registering for multiple classes please be sure to list all of the classes that you wish to take. Please use one form for each person that you are registering. After completing the form, click the Submit Button and then Return to this page to complete a form for any additional persons you are registering.
If you have paid for your classes in advance of this registration please check the paid in advance button, If you have not paid for you class, please fill out the information and we will contact you to make the payment arrangements. Payments must be received before we can reserve your place in a class. You can also click on the Store Button to see our Payment options and multiple class discount packages.
Thank you, have a great day and I look forward to seeing you in class.
Ted "Smitty" Smith
Participants Full Name as it will Appear on the Certificate of Completion
Participants Address including City, State and Zip Code
Participants Phone Number including Area Code
Participants E Mail Address
Please Check Each Class for Which You Are Registering