Online Class Registration Form
Course Information       

Course Location*


Course Name*


Course Date*

Download Latest Training Schedule   » Here «		 ** Sitex offers the following course as teach on demand: Asbestos Awareness Seminar, Texas Asbestos Laws and Rules Course, Asbestos Floor Tile Removal Course, Mold Consultant Training, Lead Awareness Seminar, Lead Safe Work Practices for Home Remodelers, Safety Training Classes to include: Hazardous Material Technician, CPR, and OSHA Safety Training 10 & 30 hour classes.

If you are interested in these courses please contact Phil Myers for scheduling and availability at (832) 250-0791.


Student Information

Student Name*


Social Security No*
- -

Drivers License No (For LDEQ)*


A PREVIOUS COURSE CERTIFICATE MUST be provided for all refresher courses unless taken from Envirotest, Ltd.

Previous course was taken with Envirotest
Previous course was NOT taken with Envirotest, Ltd. Please submit previous certificate with Registration Form.

- If yes, previous course date:

- If no, use the Attach Certificate option below to submit a digital copy of your previous certificate with this online registration form - or you can fax a copy to 713-782-3428, attn: Training Dept.

Attach Certificate



Contact / Billing Information (Where certificate/ID's will be mailed)

Company Name*


Contact Name*


Mailing Address*


City*
State*

Zip Code*


Telephone - - ex:         Fax - -

Email*
(a confirmation of your registration will be sent to this email address)


Type of Payment *

Company/Personal Check
Purchase Order #
Credit Card*

* If paying by credit card, please call 713-782-4411 and ask for the Accounting Department to make payment.


- Advanced Registration and Payment are Required! Certificates will not be issued until payment is received. Se require registro y pago por adelantado. Los certificados no seran procesados hasta haber recibido su pago.

- Students registering for a Refresher course MUST send previous certificate to complete enrollment. (Required by TDH/LDEQ). Los estudiantes registrandose para un curso de repaso deben enviar su certificado previo para que su proceso de matricula sea completado.

- Envirotest, Ltd. reserves the right to cancel classes due to lack of participation. Students will be called and informed of the cancellation of a class. All cancelled course fees will be refunded. Envirotest, Ltd. se reserva el derecho de cancelar clases debido a ausencias. Dichos estudiates seran contactados e informados acerca de la cancelacion de la clase. Todos los pagos efectuados seran reembolsados.

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* All fields with a red asterisk are required!