Florida Home Inspection - Florida State Chapter of NACHI

November 28th and 29th
Fort Lauderdale, Florida

You need only attend ONE day, NOT BOTH!

You will be assigned to a class on either day and
be advised accordingly within 48hrs of your registration.

The cost of the class is $50.00 for NACHI members
and $99.00 for non members.

The cost is non-refundable.

YOU
MUST
COMPLETE ALL FIELDS!

Your FULL Name:

Are you a NACHI Member?: YES NO

Company Name:

Company Phone #:

Credit Card Type:
Card Number#:
Exp Date:
Mo Yr
*SEC Code:
*If Visa or Master Card this is the 3 last digits on the reverse of the card.
*If American Express, this is the 4 digits above your credit card number.

Credit Card Bill To Street:
Bill To City: Bill To Zip:

Please charge my card for: NACHI Memebers

Please charge my card for: NON-NACHI Memebers

List ALL attendees paid for here:
Includes your name!

First Name                           Last Name

First Name                           Last Name

First Name                           Last Name

First Name                           Last Name

First Name                           Last Name

First Name                           Last Name

First Name                           Last Name

First Name                           Last Name

First Name                           Last Name

First Name                           Last Name

Please EMail my RSVP Confirmation/Receipt to:

READ BEFORE YOU PROCEED!
I understand that ALL charge are NON-REFUNDABLE
and charges will appear on my statement as Step By Step
YES NO

Please note that all charges are processed as Step by Step Home Inspectons