Texas Sign Association Electrician's Education Registration
Company Name
TSA Member?
Please Select
Yes
No
Name
First Name
Last Name
TDLR License Number
License Type
Email
example@example.com
Course Type
Please Select
CE Course
Exam Review
Course Date
Name
First Name
Last Name
TDLR License Number
License Type
Email
example@example.com
Course Type
Please Select
CE Course
Exam Review
Course Date
Name
First Name
Last Name
TDLR License Number
TDLR License Type
Email
example@example.com
Course Type
Please Select
CE Course
Exam Review
Course Date
TDLR License Number
License Type
Name
First Name
Last Name
Email
example@example.com
Course Type
Please Select
CE Course
Exam Review
Course Date
Additional Registrants
My Products
prev
next
( X )
Complimentary Member Benefit CE Course
Members receive 4 FREE CE courses annually.
$
75.00
Quantity
0
1
2
3
4
Member CE Course
Enter description
$
75.00
Quantity
1
2
3
4
5
6
7
8
9
10
Non-Member CE Course
$
150.00
Quantity
1
2
3
4
5
6
7
8
9
10
Complimentary Member Benefit Exam Review
Members receive 2 FREE CE courses annually.
$
400.00
Quantity
0
1
2
Member Exam Review
$
400.00
Quantity
1
2
3
4
5
6
7
8
9
10
Non-Member Exam Review
$
500.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: