You are on page 1of 1

CHIMNEY SAFETY INSTITUTE OF AMERICA

CSIA CERTIFIED DRYER EXHAUST


TECHNICIAN REVIEW & EXAM
REVIEW LOCATION _________________________________ REVIEW DATE _________________________
The CSIA Certified Dryer Exhaust Technician review session is an opportunity for certification candidates to undertake a final
review of the CSIA Certified Dryer Exhaust Technician Study Manual before the exam is administered. Advance study of the
materials is strongly encouraged as the review session alone is not adequate preparation for passing the exam.
PLEASE NOTE: Prior to the exam, candidates are required to sign the CSIA Code of Ethics.

REVIEW REGISTRATION
Early Registration
30+ days prior to review session.
Regular Registration
Fewer than 30 days prior to review session.
EXAM REGISTRATION
CSIA Certified Dryer Exhaust Technician Exam
Retest Fee
Reduced rate applicable between 30 days and 12 months of failure.

STANDARD

NCSG

$399

$199

$449

$249

$369
$ 75

$169
$ 75

REVIEW & EXAM SUBTOTAL


STUDY MATERIALS
Certified Dryer Exhaust Technician Study Manual (2013)
$11
$65
+ Shipping & Handling
$13
$10
IN Residents: +7% Sales Tax on Materials and S&H
STUDY MATERIALS SUBTOTAL
GRAND TOTAL

SUBTOTAL

B
A+B

REGISTRANT NAME(S) 1. _________________________________________________ CDET Renewal?


2. __________________________________________________CDET Renewal?
3.__________________________________________________CDET Renewal?
4.__________________________________________________ CDET Renewal?
COMPANY NAME _________________________________________________________________________
ADDRESS ________________________________________________________________________________
CITY _____________________________________________________ STATE ___________ ZIP ___________
PHONE (__________) ______________________________________________________________________
FAX (__________) _________________________________________________________________________
PAYMENT INFORMATION:
Check # ____________________________________________________
CSIA also accepts Visa, MasterCard and AmericanExpress.
Card Number _________________________________________________
Card Security Code ___________________ Exp. ____________________
Name on Card _______________________________________________
Cardholder Signature __________________________________________
REFUND POLICY: If a registrant withdraws from the review session
prior to the early registration deadline, a refund will be issued less a $50
administration fee. Registration withdraws must be postmarked by the
early registration date to qualify for this refund. If a registrant withdraws
from the review after the deadline, no refund will be issued.

TO SECURE YOUR REGISTRATION

Mail to: Chimney Safety Institute of America


C-DET Review
2155 Commercial Drive
Plainfield, IN 46168
Or Fax: (317) 837-5365
Or Call: (317) 837-5362
For Office Use Only
O2C C2F 2C2R
AUTH ________________________
ProfileID ________OrgID_________
RECD BY: ____________________
RECD DATE: __________________
Valid: 9/1/14-8/31/15 Rev.: 9/4/14

You might also like