Plug In Program

Plug In Program Registration Form

Cost is $100 for the 7-hour, 1-day class (9:00am -4:00pm). Attendees receive an IEC Certificate of Completion. *Please Note*: Refunds are only available if the IEC is notified prior to the start time of the first day of class. After the start time of the first day of class, a credit towards a future class may be applied.
Student Name*

First NameLast Name
Birth Date

MonthDayYear
Student E-mail*
example@example.com
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number*
Phone Number
Do you have any mechanical or trade experience?
Do you need assistance creating a resume?
Which month do you wish to attend?
How did you hear about us?
Additional Comments

My Products*

Plug In Program

$100.00

Total

$0.00

Plug In Program Registration Form