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NORTH BERGEN
2011 Continuing Education Schedule

GONZALEZ & COMPANY INSURANCE AGENCY
5833 Kennedy Blvd. (Rte. 501)
North Bergen, NJ 07047
201-869-6409

Check desired classes:  
__
02/02/11
PAIP/CAIP (Special Pricing $75)
5:30 - 8:30pm
Wed.
__
04/27/11
 COMMERCIAL GENERAL LIABILITY
5:30 - 8:30pm
Wed.
__
06/22/11
AGENCY ETHICS
5:30 - 8:30pm
Wed.
__
08/17/11
 EMPLOYER PRACTICES LIABILITY
5:30 - 8:30pm
Wed.
__
10/11/11
 NJ PERSONAL AUTO POLICY
5:30 - 8:30pm
Tues.
__
12/08/11
 DWELLING INSURANCE
5:30 - 8:30pm
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 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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