Plumbing Heating Cooling

Contractors Association

Maryland Plumbing-Heating-Cooling Contractors, Inc. Suite 205, 10176 Baltimore National Pike, Ellicott City, MD 21042

(410) 461-5977 (410) 750-2507 fax

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June 9, 2012 – Thos. Somerville Co. – 1510 Tilco Drive – Frederick, MD

June 23, 2012 – Dundalk Community College – 7200 Sollers Point Road – Dundalk, MD

July 14, 2012 – Thos. Somerville Co. – 1510 Tilco Drive – Frederick, MD

July 28, 2012 – Dundalk Community College – 7200 Sollers Point Road – Dundalk, MD

August 11, 2012 – Thos. Somerville Co. – 1510 Tilco Drive – Frederick, MD

August 25, 2012 – Dundalk Community College – 7200 Sollers Point Road – Dundalk, MD

September 8, 2012 – Thos. Somerville Co. – 1510 Tilco Drive – Frederick, MD

September 22, 2012 – Dundalk Community College – 7200 Sollers Point Road – Dundalk, MD

October 13, 2012 – Thos. Somerville Co. – 1510 Tilco Drive – Frederick, MD

October 27, 2012 – Dundalk Community College – 7200 Sollers Point Road – Dundalk, MD

November 10, 2012 – Thos. Somerville Co. – 1510 Tilco Drive – Frederick, MD

November 17, 2012 – Dundalk Community College – 7200 Sollers Point Road – Dundalk, MD

December 9, 2012 – Thos. Somerville Co. – 1510 Tilco Drive – Frederick, MD

SSCCHHEEDDUULLEE UUPPDDAATTEEDD EEVVEERRYY 3300 DDAAYYSS

HOURS: 7:30 a.m. – 3:30 p.m.

A passing grade commensurate with National requirements on the final written examination and a satisfactory

completion of the “Hands on” performance test will result in Certification. Certification is good for three (3) years.

NNOOTTEE:: Class schedules are updated approximately every 30 days. To reserve your space please be sure to register

early. Class size is limited and applicants are accepted on a first-come first-serve basis.

Name _____________________________________________________Home Phone ( ) ___________________

Address_______________________________________________ Last 4 Digits of Social Security # ____________

City______________________________________________State__________Zip Code_______________________

Certification expiration date:__________________________________ School Attended: ____________________

Company Name________________________________ Phone ( ) ________________ FAX ( )______________

Class Location request___________________________________ Class date requested_______________________

Signature of Applicant_____________________________________________________Date___________________

PPAAYYMMEENNTT:: Please make check payable to Maryland PHCC. Payment must accompany

the completed application. Mail to: Maryland PHCC, Suite 205, 10176 Baltimore National

Pike, Ellicott City, MD 21042. Enclosed is my check in the amount of $__________.

CCAANNCCEELLLLAATTIIOONN:: What if I need to cancel? Applicants who cancel up to 10 days prior to the start

of the course will forfeit 25% of the total fee to cover administrative fees. CCAANNCCEELLLLAATTIIOONNSS LLEESSSS

TTHHAANN SSEEVVEENN ((77)) DDAAYYSS PPRRIIOORR TTOO TTHHEE SSTTAARRTT OOFF CCLLAASSSS WWIILLLL FFOORRFFEEIITT AALLLL FFEEEESS..