Please have these items ready to fill out our form on the next page after payment:

• Email
• Name (Last, First, Middle)
• Phone
• Your Apprentice License Number & Exp Date
• Last 4 digits of ITIN or SSN
• Current Trainer Name, License & Exp Date
• Current Trainer Email Address
• Current Establishment Name, License & Exp Date

Payments are non-refundable.