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MONTVALE
2011 Continuing Education Schedule

JIMCOR AGENCY
60 Craig Rd.
Montvale, NJ 07645
201-573-8200
Jimcor Agency Directions

Check desired classes:  
__
 06/21/11 INSURANCE INDUSTRY ETHICS  **
9am - 12pm
Wed,
__
 06/21/11 ENTERPRISE RISK MANAGEMENT  **
1pm - 4pm
Wed.
**May 4, 2001 rescheduled to June 21, 2011.
__
 10/12/11 HOMEOWNERS UNDERWRITING ISSUES 
9am - 12pm
Wed,
__
 10/12/11 MISCELLANEOUS PROFESSIONAL LIAB
1pm - 4pm
Wed.
*May 4, 2001 rescheduled to June 21, 2011
ALL New Jersey CE courses qualify for 3 CE credits.
Course qualifies for 3 New York CE credits. ($10 Addt'l Fee)
Course 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 REF # _  _   _  _   _  _  _ -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

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