KBSI Registration

Please complete the form below to register for:

Housing Quality Standards

When you have completed the registration form, simply click on the "Send" button at the very bottom of the screen. The form will clear itself after you leave this page.

You will not receive a reply until the form has been reviewed by a staff person and space in the class confirmed. All on-line registrations will be confirmed by e-mail within 48 hours. If you do not receive a confirmation, please call 877-537-2425.

Thank you for your registration. We look forward to meeting you soon!

Name:

Position/Title:

Company:

Address1:

Address2:

City:

State:

Zip Code:

Bus. Phone:

Fax:

Home or Cell Phone*:

*Will be used only for last-minute or emergency contact.

E-mail*:

*Your e-mail address will be used only for correspondence from KBSI, and will never be shared with an outside party.

√ Select Training Date:
Registration fee is $575 per person.

√ Receptacle test kit option:

I wish to purchase a receptacle test kit ($35).

√ Select invoice/payment option:

Send paper invoice to postal address for payment by by credit card (VISA, MasterCard, American Express, Discover).

Please call me for credit card info for telephone payment.

Send paper invoice to postal address above for payment by check.

Do you have any comments or questions? If so, please note them in the box below. Please do not put any secure information here, like credit card information.

When you are ready, press the "Send" button below. The form will clear itself after you leave this page. If you do not receive an e-mailed confirmation within 48 hours, please call 877-537-2425. Thanks!

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