Form – Residential Electrical Specialty License Form Residential Electrical Specialty License First Name* Last Name* Company* Address* This will be your shipping addressCity* State*StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZIP*Phone Number* Email* Course Interested InPlease select a course...Residential Specialty 1 1/2-day Trades & 1-day Business ($937.50)Residential Specialty Trades ONLY ($562.50)1-day Business Course ($375)Not Interested in a CourseWhat Month Are You Looking To Take Your Course?JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberWe try and schedule our courses around our students needs. If you don't see a course on the schedule for the month you choose, we will do our best add it!Exam DateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberBook Package Residential Electrical Book Package ($700 or $800 NON-Student) I Don't Need Any Books NOTE: If you're not a student add $100 to book package cost. Only need a few books? Call us for custom quote! 1-866-350-BEES (2337)How did you hear about us?Search EngineReferring WebpagePhone CallPostcardBrochureLetterReferralPast StudentBookmarkOtherMethod Of Payment Cash Check/Money Order MasterCard Visa Discover American Express Please make checks payable to 'Builders Estimating & Exam School'Name On Card Card Number Expiration Date Security Code Billing Address (If Different) City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZIPAdditional CommentsTerms and Conditions* I have read the Terms and Conditions and agree to receive emails from BEES. I understand I can opt out any time. Payment Agreement* By checking this box, I agree to pay the above total amount according to the card issuer agreement and to the BEES. Refund Policy* I have read the Refund Policy CommentsThis field is for validation purposes and should be left unchanged.
