Fax this form to 910-793-4752 (this is my home office and totally confidential)
Name On Card ________________________________
Address ________________________________
City_____________ State___ Zip________ Telephone_____________ Fax______________
Email address____________ ________________________________
Charge To:
Account #
Expiration Date
Visa
 ________________________________
_____________
Master Card
 ________________________________
_____________
Course Date(s) ________________________________
_______________________ ________________________________
Date Signature

Appraiser Certification # (for c.e. classes only) ______________________

Pre-Licensing Courses:
Circle Courses
Principles _________________________________________
510.00
Procedures _________________________________________
510.00
MA&HBU _________________________________________
375.00
15-Hour USPAP _________________________________________
510.00
 

Or select the all at once Trainee Series option
This includes books required for the courses
1,750.00
G Prep I/II
$175 for each section
_________
R Prep I/II
$130 for each section
_________
Other:

_________________________________________
 Sales Tax may apply
Manuals, etc., _________________________________________
Total
Enter Total Payment Here:
____________
   
_______________________ ________________________________
Date Signature