ATLANTIC CITY
Check desired classes:
__ 03/18/21
Miscellaneous Professional Liability
9am - 12pm
Thursday
__ 03/18/21
Directors & Officers Liability
1pm - 4pm
Thursday
__ 03/18/21
Dwelling Policy
5pm - 8pm
Thursday
__ 03/19/21
Insurance Industry Ethics
9am - 12pm
Friday
__ 03/19/21
Insurance Issues
1pm - 4pm
Friday
__ 03/19/21
Insurance Forensics
4pm - 8pm
Friday
EARN 18 CREDITS IN 2 DAYS!
ALL COURSES QUALIFY FOR 3 CEC’s
IN NJ, PA, AND NY
Most courses offered earn 3 credits each in NJ, NY, and PA. Click here for course descriptions.
To register for multiple locations:
Go to registration form
To register by mail or fax for this location ONLY,
follow these steps:
1. Print this page.
2. Check desired classes.
3. Fill in required information and send to:
Wise Education, Inc.
1501 Cobblestone Ct.
Thorofare, NJ 08086
Fax: 856-384-8414
Tuition Total $________ # of
Credits______________
PAYMENT OPTIONS:
____Check #_________ Check amt. $__________
____Visa ____MC ____Discover
Expiration Date _____/______(Required)
CC #_____________________________________
Cardholder Name____________________________
(Please print)
Signature___________________________________
Comments:_________________________________
__________________________________________
FIRST_______________________MI____
LAST____________________________Jr / Sr / III
DATE OF BIRTH _ _ / _ _ / _ _
HOME PHONE ( _ _ _ ) _ _ _ - _ _ _ _
MOBILE PHONE ( _ _ _ ) _ _ _ - _ _ _ _
HOME ADDRESS__________________________
CITY/ST______________________ZIP_________
BUS FIRM________________________________
BUS PHONE ( _ _ _ ) _ _ _ - _ _ _ _
BUS FAX ( _ _ _ ) _ _ _ - _ _ _ _
BUS ADDRESS___________________________
CITY/ST______________________ZIP_________
E-MAIL___________________________________
Please make a copy of this form and mark your
calendar.
No CE confirmations mailed.
PLEASE ATTACH MEMO AS TO
ANY SPECIAL NEEDS
I wish to earn CE credits for the following state(s):
NJ State Lic #______________ Exp _________
PA State Lic #______________ Exp _________
NY State Lic #______________ Exp _________
NJ, NY, & PA Continuing Education Specialists
856-384-9377
For Renault Winery rooming information please call Wise Education at 856-384-9377.