Name for Name Tag (Type or Print clearly)
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Company Name:
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Street Address:
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City/State/Zip:
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Phone Number and area code:
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E-mail:
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Continuing Education Credits (CEUs)
To receive credit for any course attended, you must be scanned into each and every course each day you attend the seminar. If you do not have your name badge scanned when you enter each course each day you may not receive any continuing education credits.
Continuing education credits will be submitted to the: Florida Board of Business and Professional Registration for Florida Registered Architects and Florida Professional Engineers.
The seminar will also be submitted to ASHE for continuing education credits.
You may use the General Certificate of Attendance for all other organizations, and registrations such as AIA, other states licensing boards, contractors, and etc.
Florida Registered Architects and Florida Professional Engineers:
You must provide your correct State of Florida Professional Registration Number for either architecture or engineering below. If you do not enter your number or provide an incorrect or erroneous number you will not receive credit for the courses you attend.
| State of Florida Professional Registration Number for Architecture: |
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| State of Florida Professional Registration Number for Engineering: |
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