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HACKETTSTOWN
2012 Continuing Education Schedule
*PLEASE NOTE NEW HACKETTSTOWN LOCATION

PANTHER VALLEY GOLF AND COUNTRY CLUB
Forest Drive
Allamuchy, NJ  07820
908-850-0800
www.panthervalleyclub.com
Check desired classes:  
__
02/09/12
CASUALTY FRAUD I
9am - 12pm
Thurs.
__
02/09/12
MISCELLANEOUS PROFESSIONAL LIAB
1pm - 4pm
Thurs.
__
04/12/12
REINSURANCE IN TODAY'S WORLD
9am - 12pm
Thurs.
__
04/12/12
PAIP/CAIPimg
1pm - 4pm
Thurs.
__
06/07/12
BUSINESSOWNERS POLICY
9am - 12pm
Thurs.
__
06/07/12
COURT VERDICTS  
1pm - 4pm
Thurs.
__
10/04/12
PROPERTY FRAUD II  img
9am - 12pm
Thurs.
__
10/04/12
ETHICAL INSURANCE ISSUES  
1pm - 4pm
Thurs.
ALL New Jersey CE courses listed qualify for 3 NJ CE credits.
Course also qualifies for 3 New York CE credits. ($10 Addt'l Fee)
Course also qualifies for 3 Pennsylvania CE credits. ($10 Addt'l Fee)

# of
classes
Tuition

# of
classes
Tuition
1
$70
6
$300
2
$110
7
$350
3
$165
8
$400
4
$220
9
$450
5
$250
10
$500

Early Birds - Deduct 10%
(postmarked 20 days prior to class)

To register online OR for multiple 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:__________________________________

____________________________________________
Wise Education of NJ 800-577-9888
wise.education@verizon.net
FIRST_______________________MI____
LAST____________________________Jr / Sr / III
DATE OF BIRTH   _  _  / _  _ /  _  _
SOC. SEC. #   _  _  _  /  _  _  / _  _  _  _
NJ LIC REFERENCE # _  _   _  _   _  _  _ -IP
NJ 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
PENNSYLVANIA CE

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