NC Electrical Institute Registration - NC State Board of Examiners of Electrical Contractors

Use this form to register to attend the 2023 NC Electrical Institute on April 11 - 12, 2023.

Purchase of a Standard Registration includes admittance to the event and name badge. Banquet Dinner tickets are not included in the Standard Registration fee but can be added on to your purchase in "SECTION 4: Banquet Dinner".

Continuing Education:

The Institute meets the requirements of NCBEEC and the NC Code Officials Qualification Board (COQB) for 8‐hours of classroom/in-person continuing education credit.

CE credit will be awarded based on your first and last name, last four digits of your social security number, qualifier # and license # (NCBEEC), and/or your Inspector ID # (COQB).

In order to receive CE credit:

You must provide ALL required information including your Qualifier number and License number (for Electrical Contractors) and/or your Inspector ID number (for Inspectors).
You must be present for the entire event; this means attending both days of workshops and presentations. PARTIAL HOURS FOR CE CREDIT WILL NOT BE AWARDED.

Find your Qualifier #: (for NCBEEC contractors only)

CLICK HERE - search by your first/last name only (providng too much information will result in errors)
Click the blue license # you're associated with
Your Qualifier # will be displayed at the bottom of the page
Copy the entire Qualifier number with the letters and paste below where indicated.
Please note: Your Qualifier number is not your license number. (Ex: Qual.L.12345)

For questions, contact Morgan King at (919) 733-9042 ext. 205 or at mking@ncbeec.org

Registration Form

Standard Registration*

Standard Registration fee per person

Price:

How many people are you registering to attend the Insitute?*

Indicate how many people you are registering. This registration fee does not include tickets to the Banquet dinner. You may register a maximum of 5 people on this form.

Please enter a number less than or equal to 5.

SECTION 1: Company Information

Company Name*

Enter the name of your company (this will be printed on each ID badge for every individual you are registering on this form).

Company Mailing Address*

Enter a mailing address for the company.

Street Address Address Line 2 City State ZIP Code

Billing Contact Name*

Enter the full name of the person responsible for this registration and any billing questions.

First Last

Billing Contact Phone*

Billing Contact Email*

Registration summary and receipt will be sent to this email address

Enter Email Confirm Email

SECTION 3: Attendee Information

Add information for individual(s) you are registering. You may register a max of 5 attendees below.

Registrant 1*

Name will be printed on ID badge as it is entered here.

First Last

Does Registrant 1 want CE credit for attending the event?*

Yes
No

Enter Last 4 of SSN for Registrant 1*

Is Registrant 1 an Electrical Contractor or an Inspector?*

Electrical Contractor/Qualified Individual
Inspector
Both
Other

Other - Please Specify*

List title or role.

Find Your Qualifier Number:

Search qualifier number HERE [ https://arls-public.ncbeec.org/Public/Search ]
Search by first/last name only (providing too much information when searching will result in an error)
Click blue license number
Your Qualifier # is at bottom (ex: QUAL.L.02345)
COPY & PASTE ENTIRE # WITH LETTERS BELOW

Enter Qualifier Number for Registrant 1*

Example: QUAL.P.01234 OR Qual.L.01234 / **Quals with FALV, PH, WP, SP, ES, SFD, EL - ONLY ENTER FIRST LETTER OF CLASSIFICATION (ex: QUAL.PH.01234 entered as QUAL.P.01234)**

Enter Electrical License Number For Registrant 1*

Enter license number (numbers only). Be sure to include all zeros. If no license, enter 00000.

Enter Inspector ID for Registrant 1*

Enter your Inspector ID number (numbers only). Search for your Inspector ID # here: [ https://apps.ncdoi.net/f?p=114:302 ].

Registrant 2*

Name will be printed on ID badge as it is entered here.

First Last

Does Registrant 2 want CE credit for attending the event?*

Yes
No

Enter Last 4 of SSN for Registrant 2*

Is Registrant 2 an Electrical Contractor or an Inspector?*

Electrical Contractor/Qualified Individual
Inspector
Both
Other

Other - Please Specify*

List title or role.

Enter Qualifier Number for Registrant 2*

Ex: QUAL.P.01234 OR Qual.L.01234 / **Quals with multiple letters - ONLY ENTER FIRST LETTER OF CLASSIFICATION (ex: QUAL.PH.01234 entered as QUAL.P.01234)** / If you do not know your qualifier #, search qualifier number using link at top of form.

Enter Electrical License Number for Registrant 2*

Enter license number (numbers only). Be sure to include all zeros. If no license, enter 00000.

Enter Inspector ID for Registrant 2*

Enter your Inspector ID number (numbers only). Search for your Inspector ID # here: [ https://apps.ncdoi.net/f?p=114:302 ].

Registrant 3*

Name will be printed on ID badge as it is entered here.

First Last

Does Registrant 3 want CE credit for attending the event?*

Yes
No

Enter Last 4 of SSN for Registrant 3*

Is Registrant 3 an Electrical Contractor or an Inspector?*

Electrical Contractor/Qualified Individual
Inspector
Both
Other

Other - Please Specify*

List title or role.

Enter Qualifier Number for Registrant 3*

Ex: QUAL.P.01234 OR Qual.L.01234 / **Quals with multiple letters - ONLY ENTER FIRST LETTER OF CLASSIFICATION (ex: QUAL.PH.01234 entered as QUAL.P.01234)** / If you do not know your qualifier #, search qualifier number using link at top of form.

Enter Electrical License Number for Registrant 3*

Enter license number (numbers only). Be sure to include all zeros. If no license, enter 00000.

Enter Inspector ID for Registrant 3*

Enter your Inspector ID number (numbers only). Search for your Inspector ID # here: [ https://apps.ncdoi.net/f?p=114:302 ].

Registrant 4*

Name will be printed on ID badge as it is entered here.

First Last

Does Registrant 4 want CE credit for attending the event?*

Yes
No

Enter Last 4 of SSN for Registrant 4*

Is Registrant 4 an Electrical Contractor or an Inspector?*

Electrical Contractor/Qualified Individual
Inspector
Both
Other

Other - Please Specify*

List title or role.

Enter Qualifier Number for Registrant 4*

Ex: QUAL.P.01234 OR Qual.L.01234 / **Quals with multiple letters - ONLY ENTER FIRST LETTER OF CLASSIFICATION (ex: QUAL.PH.01234 entered as QUAL.P.01234)** / If you do not know your qualifier #, search qualifier number using link at top of form.

Enter Electrical License Number for Registrant 4*

Enter license number (numbers only). Be sure to include all zeros. If no license, enter 00000.

Enter Inspector ID for Registrant 4*

Enter your Inspector ID number (numbers only). Search for your Inspector ID # here: [ https://apps.ncdoi.net/f?p=114:302 ].

Registrant 5*

Name will be printed on ID badge as it is entered here.

First Last

Does Registrant 5 want CE credit for attending the event?*

Yes
No

Enter Last 4 of SSN for Registrant 5*

Is Registrant 5 an Electrical Contractor or an Inspector?*

Electrical Contractor/Qualified Individual
Inspector
Both
Other

Other - Please Specify*

List title or role.

Enter Qualifier Number for Registrant 5*

Ex: QUAL.P.01234 OR Qual.L.01234 / **Quals with multiple letters - ONLY ENTER FIRST LETTER OF CLASSIFICATION (ex: QUAL.PH.01234 entered as QUAL.P.01234)** / If you do not know your qualifier #, search qualifier number using link at top of form.

Enter Electrical License Number for Registrant 5*

Enter license number (numbers only). Be sure to include all zeros. If no license, enter 00000.

Enter Inspector ID for Registrant 5*

Enter your Inspector ID number (numbers only). Search for your Inspector ID # here: [ https://apps.ncdoi.net/f?p=114:302 ].

SECTION 4: Curtis Kennedy Banquet Dinner

Do you wish to add any tickets for the Banquet dinner?*

Yes
No

How many Banquet Dinner tickets are you purchasing? *

Banquet Dinner - $45.00/per person. Indicate the number of Banquet Dinner tickets being purchased.

Price: $45.00

Who are these tickets for?*

Indicate name of registrant receiving banquet tickets and list # of tickets for that person. (ex: James Bond 2 tickets, Thompson 1 ticket)

Total

$0.00

Payment Information

Please note, fees are non-refundable. Upon payment, a receipt will be automatically sent to the email address entered in "SECTION 1" along with all registration details.

Credit Card*

Discover, Visa and Mastercard payments only. Our processor does not accept AMEX.

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Credit Card Billing Address*

Street Address Address Line 2 City State ZIP Code

Total Amount Due

$0.00

Authorization*

By checking "I Agree" below, I agree that all sums totaled on this registration are correct and I authorize the Total Amount Due above to be charged to the debit or credit card provided on this form. Furthermore, I understand that all fee's paid are non-refundable.

I Agree

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