KANSAS Mechanical Trades Review Board
Request for Replacement Continuing Ed. Certificate
Please Allow 10 Business Days for a replacement certificate to be issued.

Title of Program:
Your Name:
Telephone:	FAX:
E Mail:
Mailing Address:
City:	State: Zip:
Approx. Date of Seminar:

Any additional information:

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SPONSORED BY

HEART OF AMERICA CHAPTER OF BUILDING OFFICIALS www.HEART-O-AMERICA.org

MO-KAN CHAPTER OF INTERNATIONAL ASSOCIATION OF MECHANICAL AND PLUMBING OFFICIALS

KANSAS PLUMBING, HEATING, COOLING CONTRACTORS ASSOCIATION www.KPHCC.org

MECHANICAL TRADES LABOR ORGANIZATIONS OF KANSAS

For more information, contact:
      Kansas Mechanical Trades Review Board
      C/O Kansas PHCC Association
      1632 S. West Street, Suite 3
      Wichita, KS 67213
      Phone: (316) 943-7100     
      Fax: (316) 943-7108     
      WEBSITE: kphcc.org