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Last Name *

Email *

Cell Phone *

Home or Work Phone *

Address

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Payment Preference: __ MC __Visa ___Disc ___Check __Cash
This course is Post 911 GI Benefits approved
This course is VocRehab approved
We will contact you for payment.

Background Information

Have you ever inspected a home?
yes no

Do you need our assistance to help you overcome any problems in the licensing process?
yes no

For your information, we ask the following questions only because they appear on the Kentucky Application for Home Inspector License.

Have you ever been sued or convicted of a crime?
yes no

Are all federal student loans paid (KRS requires)?
yes no

Call Us: 502-896-2020 or email: info@pli4u.com

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License # KBPE R-0403, KBHI P-1001, KBHI CE-1002

Louisville, KY | Phone 502-896-2020 | Fax 502-895-4766 | Email pli4u@aol.com
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