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PRINT THIS FORM!

Prepare for Success NCE Workshop Signup Sheet

PRINT THIS FORM!

Please fill in the form and fax it to (813) 681-2208 with your credit card information. Or you may mail it with a check made out to: Carmen Stein

Personal Information

Your Name:                                                        Address:

City:                               State:                          Zip Code:

Home Phone:                                                     E-mail address:

Click to see class dates, Florida locations and costs

WORKSHOP YOU ARE INTERESTED IN:

Intensive 1 Day Session ($500)
Florida Laws only ($125)
Review Book ($225)

LOCATION:

Tampa Miami Jacksonville
W. Palm Beach Ft. Myers Orlando

DATE:      _______________

PAYMENT AMOUNT:       _______________

PAYMENT METHOD: Check enclosed Bill my credit card
MasterCard               VISA 

Card number   ________________________ 

Expiration Date ________

Name as it appears on the card  ______________________

Cardholder signature  ________________________   

Date ________

Please read and check off both boxes below before sending:

I understand that signup is NOT complete until full payment has been received and processed and you have been issued a confirmation!

I  understand all workshops and materials are non-refundable once my credit card information is provided, however workshops may be taken at a later date or transferred to another person if not used. Also, now you can apply the cost of the  book towards the fee for the Intensive 1 Day Session.

Send it to Prepare for Success!

Telephone

(813) 685-2221

FAX

(813) 681-2208

Address

221-C Pauls Drive, Brandon, Florida 33511

E-mail

carmenstein@prepareforsuccess.com

 

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