Sed 9-L - Application For State Electrical License Renewal Page 3

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E-MAIL NOTIFICATION
If you would like to be included on our mass e-mail system in order to
receive renewal reminders, newsletters, notices, etc., please provide
us with a current and legible e-mail address.
E-MAIL ADDRESS INFORMATION
NAME: ______________________________________________________________________
REGISTRATION/LICENSE # _____________________________________________________
E-MAIL ADDRESS:_____________________________________________________________
ON-Line Renewal Available with Credit Card Payment at
Continuing Education Certificates and United States Citizenship Attestation Form
must be sent to the Electrical Division before renewing on-line.

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