| __ |
Dec.
6, 7, & 8, 2004 |
BENSALEM
Courtyard Mariott |
8
am - 5:00 pm |
Mon.
- Wed |
$295* |
| __ |
Jan. 24, 25,
& 26, 2005 |
BENSALEM
Courtyard Mariott |
8
am - 5:00 pm |
Mon.
- Wed |
$295* |
| __ |
Mar. 14, 15
& 16, 2005 |
HORSHAM Days
Inn |
8
am - 5:00 pm |
Mon.
- Wed |
$295* |
| __ |
May 23, 24,
& 25, 2005 |
BENSALEM
Courtyard Mariott |
8
am - 5:00 pm |
Mon.
- Wed |
$295* |
| __ |
July 18, 19
& 20, 2005 |
HORSHAM Days
Inn |
8
am - 5:00 pm |
Mon.
- Wed. |
$295* |
| __ |
Sept. 12, 13,
& 14, 2005 |
BENSALEM
Courtyard Mariott |
8
am - 5:00 pm |
Mon.
- Wed |
$295* |
| __ |
Dec. 5, 6 &
7, 2005 |
HORSHAM Days
Inn |
8
am - 5:00 pm |
Mon.
- Wed. |
$295* |
| |
*24
hour course certificate issued on final class day (must attend
all 3 days of class). |
*Additional
for practice exam material.
See Fees &
Policies |
To
register online OR
for multiple locations:
|
| |
| |
|
To register
by mail or fax 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 $295 #
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
ADDRESS__________________________ |
| CITY/ST_______________________ZIP_________ |
| HOME
PHONE ( _ _ _ ) _
_ _ - _ _ _ _ |
| E-MAIL___________________________________ |
| BUS
FIRM________________________________ |
| BUS
PHONE ( _ _ _ ) _
_ _ - _ _ _
_ |
| BUS
FAX ( _ _ _ ) _
_ _ - _ _ _
_ |
| BUS
ADDRESS___________________________ |
| CITY/ST_______________________ZIP_________ |
Please
make a copy of this form and mark your calendar.
|
No
CE confirmations mailed.
PLEASE
ATTACH MEMO AS TO ANY SPECIAL NEEDS |
|
| |
|
|
|
