Contact us at wise.education@verizon.net
© Wise Education, Inc. 2013-2019. All rights reserved.
NJ, NY, & PA Continuing Education Specialists
1-800-577-9888
DOYLESTOWN
The Campbell Agency
236 Wells Road
Doylestown, PA 18901
215-348-8661
Campbell Agencies
Across road about 1/2 mile from Doylestown Twp Police Dept
Check desired classes:
__ 05/08/19
8:30am - 11:30am
INSURANCE FORENSICS
3 CEC $59
__ 05/08/19
12:00pm - 5
:00pm
CPP COMMERCIAL PROPERTY
5 CEC
$79
__ 10/09/19
8:30am - 11:30am
FRAUD IN THE INSURANCE INDUSTRY
3 CEC $59
__ 10/09/19
12:00pm - 5
:00pm
FRONT LINE UNDERWRITING
5 CEC
$79
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 $________ # 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 _ _ / _ _ / _ _
PA LIC REF # _ _ _ _ _ _ _ -IP
PA INS LIC EXP DATE _ _ / _ _ / _ _
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
