USE THIS FORM IF YOU WISH TO MAIL A CHECK                       
             Home Inspection Registration Qualify Course
                                    Classroom Training and Field Base Training
                                 Enclose a check made payable to “UPstate Training” 
                    The information below is to register for Home Inspection Qualify Course

Name_____________________________________________________________________________
Address__________________________________________________________________________
City__________________________   State__________   Zip_____________________________
Email Address __________________________________________________________________
Phone_____________________________   Fax________________________________________
 
Module 1 Structural Components, Exterior Components, Roof                        __________
Module 2 Interior Components, Insulation and Ventilation, Elec.Systems __________
Module 3 Heating Systems, Cooling Systems, Plumbing Systems                    __________
Module 4 License Law, Overview of the Profession, Report writing              __________        
Module 5 Field Based Training                                                                                                __________
All Modules                                                                                                                          $_________________
Textbook    - Included in Fee if you sign up for all class's                                                                                           
Total                                                                                                                                         $_________________
Early Bird 12 days before: $650.00 per Module      $800.00 for Module 5   $3400.00 For All Modules
After Early Bird:       $700.00 per Module           $1100.00 for Module 5         $3900.00 for All
NOTE:         No discount if just sigining up for Indivudal Modules