2021 Adhesive Anchor Installer Exam Registration

2021 ACI Adhesive Anchor Installer Exam

Exam Dates & Registration
Adhesive Anchor Installer: The 90-minute written examination is closed-book and consists of 75 multiple-choice questions. The performance examination consists of two parts, Part 1 (vertical down) and Part 2 (overhead).

Special Note: Minimum of 5 examinees required for an exam date to be held.
ACI Adhesive Anchor Installer Exam Cost:

$850 /per person (includes textbook) - Tennessee Concrete Association Member

$1175 /per person (includes textbook) - Non-member Tennessee Concrete Association

$250 - Retest (Written section or Performance Section)

Textbook & shipping included in cost of exam & sent via UPS to company address upon receipt of payment.

Click here to become a member of the Tennessee Concrete Association.
Company Name *
Company Shipping Address - No shipping charge to company address *

Street Address

Suite

City State

Zip Code
Billing Address- if different from shipping

Street Address

Suite

City State

Zip Code
Company Phone Number *
Phone Number of the Company Location or Branch Associated with the Student
Company Contact *

First Name Last Name
Contact's E-mail *
example@example.com
Contact's Mobile Number *
Student Name *

First Name Middle Initial Last Name
Student E-mail *
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Student Mobile Number *
Student's Home Address *

Street Address

Apt #

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Add. charges will apply

Ship textbook to Student Home Address
This exam is available by appointment. Please request a date below. Requests are subject to examiner availability, TCA will contact you to confirm.
Adhesive Anchor Installer Exam: Request an Exam Date

Month Day Year
Date must be confirmed by TCA after submission
Full Exam or Retest? *
If taking a retest, please select what you must retake:

Written Retest Performance Retest Both
Number of Examinees *
If requesting an exam date, please input the number of examinees you will be registering.
Please select payment method: *

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Card Information

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Exp. Date CVV

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After submitting this form, please allow 2 to 3 business days for confirmation by email. Textbook sent via UPS.

If form does not submit, please be sure that all required fields have been filled in.

If you have any further questions, please email Darla Sparkman at dsparkman@tnconcrete.org
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2021 ACI Adhesive Anchor Installer Exam