FORM 500B-2008

Effective Date __________

Rule 9B-60

CERTIFIED RATER RENEWAL FORM

The renewal fee of $50.00 for your rater certification is due. Please complete the information below, enclose check or money order (made payable to: Florida Solar Energy Center) or contact the Energy Gauge Office by phone (321/638-1517) to pay by credit card. Return to: Florida Solar Energy Center, 1679 Clearlake Rd., Cocoa, FL 32922-5703, Attn: Betsy Pesce. A return envelope has been provided for your convenience.

Rater # ________

Name _________________________________________________________________

Company _________________________________________________________________

Address _________________________________________________________________

City _________________________ State_____________ Zip _______________

Phone _________________________

Fax _________________________

E-Mail _________________________

I provide rating services to the following counties:

_________________ _________________ _________________ _________________

CLASS 1 RATERS ONLY:

List Blower Door and Duct Blaster equipment currently used

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