| Pittsburgh Chapter www.PittsburghPe.Org Pennsylvania Society of Professional Engineers |
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APPLICATION FOR FE/PE REFRESHER COURSES Mail
to : Pittsburgh
Chapter, PSPE, 337 Fourth Avenue, Pittsburgh, PA 15222
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APPLICATION FOR THE FE/PE REVIEW COURSESI wish to enroll in the Professional Engineer or (EIT) Refresher Course as indicated below. My fee of $350 payable to Pittsburgh Chapter, PSPE is enclosed. I will report for class on the first listed class day. I understand that I must register separately to take the exam and that the course is being scheduled based on anticipated need and can be canceled with full refund at any time up to the first class.
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| NAME:
_____________________________ COMPANY: _____________________________ ADDRESS: STREET CITY_____________________ STATE ______________ZIP _______________ WORK PHONE:_____________________________ HOME PHONE: _____________________________ DATE_____________________________ EMAIL________________________________________ ( Registration including payment must be received by listed deadline) |
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CHOOSE ONE |
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| CIVIL/STRUCTURAL ENGINEERING |
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| FE(EIT) | |
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