Please insert your name and date below as a form of signature to this document.

Signature on this form verifies that the information on this page is true to the best of my knowledge. Any installer who does not pass has one year to return at an additional cost of $200.00 fee to complete the original categories. I understand that the testing will involve installation procedures and equipment common to the industry, including all risks associated with installation activities. As further consideration for this opportunity, I specifically agree to release NFIC, its officers or employees from any and all claims and specifically waive all such losses against the Association and such persons. In the event my activities cause injury or damage to any other person or entity, then I agree to fully indemnify, hold harmless, defend and protect the Association and all related persons from such losses, including any losses caused in part by the negligence of such others, I fully understand that failure to conduct myself in a responsible manner during the testing program may result in my termination.

Each year that you are part of this organization there will be yearly dues of $100.00. Any installer that has not failed and wants to retake the course, cost would be $600.00