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WISE EDUCATION INC.
NJ, NY, & PA Continuing Education Specialists 1-800-577-9888
BENSALEM PA PreLicensing
Philadelphia Christian Center 2990 Street Road Bensalem, PA 19020 215-639-7000 Philadelphia Christian Center Directions
Check desired class: __ Mar 25, 26, 27, 2013 Bensalem 8 am - 5:00 pm Mon - Wed $325 __ Nov 4, 5, 6, 2013 Bensalem 8 am - 5:00 pm Mon - Wed $325 * 24 hour course certificate issued on final class day (must attend all 3 days of class). * Additional for practice exam material. See Fees & Policies
~ NEW LOCATION ~
PA Locations
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 $ 325 # of Credits 24 CD ROM $ 50 TOTAL $_____ 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 _ _ / _ _ / _ _ SOC SEC # _ _ _ - _ _ _ - _ _ _ _ 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