þ The Agent’s Choice Continuing Education Book Self Study Registration Form
Please provide the following contact information:
Last 5 digits of your SS# NPN: Get Your NPN Name as it appears on your insurance license. Name of Person Paying if Other than Yourself: Address City State Select NC SC VA Zip Code Home Phone Work Phone Cell Phone Fax Number E-mail Agency Affiliation Licenses you hold Life & Health Property & Liability Choose Credit Hours 1-6 Hours $47.00 7-12 Hours $70.00 13-18 Hours $90.00 Prices are turn-key! CE course credit hour fees included! Standard shipping included!* Please check the courses you wish to take: Courses in green are the recommended courses to take for 2008. Please check with DOI to make sure you don't repeat. 2008 General Courses 16210 Agent's Guide to HIPAA (3) 15177 College Funding Basics (3) 16211 Agent's Guide to Settlement Options (3) 15178 Advanced College Financial Aid Strategies (3) 16213 Agent's Guide to COBRA (3) 17233 Agent's Guide to Social Security Benefits 11217 Exploring Long Term Care (6) 14134 Employee Benefits Part I (3) 11442 What P&L Agents Should Know (6) 14136 Employee Benefits Part II (3) 11993 Intro to Variable & Equity Indexed Annuities (3) 17234 Agent's Guide to Social Security Issues 12730 Y2K L&H Underwriting I (3) 18993 Basic Retirement Plans (3) 12731 Y2K L&H Underwriting II (3) 18994 Retirement Planning (3) 12733 Buy Sell: The Need (3) 18995 Life Insurance and the Family Business (6) 12849 Special Property Coverages I (3) 18397 Worker's Compensation Issues (6) 12850 Special Property Coverages II (3) 18375 Terrorism and Insurance (6) How would you like to retrieve your materials? Pick up at our office (3410 Healy Drive, Winston Salem, NC 27103) Driving Directions Ship to your home address Ship to an alternate address (please provide this address in the comments section below) Refund, Check, and No Show Policy There will be a $25.00 returned check charge on all checks returned. No refunds will be made unless four (4) business days prior to class date notice of cancellation by the student is given. (All fees are transferable for 1 year from original class date.) Any refunds will be subject to a 10% administrative fee deducted from the return. There will be no refunds on self-study courses - no refunds on books, computer programs, or other material purchased. All courses are due at the time of class or at the time the self-study material is received. The student is responsible for the fees unless other arrangements have been made and approved by the school. Comments: Once you submit this form you will be directed to our payment options. If you wish to pay by credit card you may do so and you will be directed to our online course catalog. If you choose to pay by cashier's check, money order, or cash you will receive a link to our course catalog via email. Payment Method Select credit card cashiers check money order cash
Last 5 digits of your SS#
NPN: Get Your NPN
Name as it appears on your insurance license.
Address
City
State
Select NC SC VA
Zip Code
Home Phone
Work Phone
E-mail
Licenses you hold
Choose Credit Hours
Prices are turn-key! CE course credit hour fees included! Standard shipping included!*
Please check the courses you wish to take: Courses in green are the recommended courses to take for 2008. Please check with DOI to make sure you don't repeat.
How would you like to retrieve your materials?
Pick up at our office (3410 Healy Drive, Winston Salem, NC 27103) Driving Directions
Ship to your home address
Ship to an alternate address (please provide this address in the comments section below)
Refund, Check, and No Show Policy
There will be a $25.00 returned check charge on all checks returned.
No refunds will be made unless four (4) business days prior to class date notice of cancellation by the student is given. (All fees are transferable for 1 year from original class date.)
Any refunds will be subject to a 10% administrative fee deducted from the return.
There will be no refunds on self-study courses - no refunds on books, computer programs, or other material purchased.
All courses are due at the time of class or at the time the self-study material is received. The student is responsible for the fees unless other arrangements have been made and approved by the school.
Comments: Once you submit this form you will be directed to our payment options. If you wish to pay by credit card you may do so and you will be directed to our online course catalog. If you choose to pay by cashier's check, money order, or cash you will receive a link to our course catalog via email. Payment Method Select credit card cashiers check money order cash
Comments:
Once you submit this form you will be directed to our payment options. If you wish to pay by credit card you may do so and you will be directed to our online course catalog. If you choose to pay by cashier's check, money order, or cash you will receive a link to our course catalog via email.
Payment Method Select credit card cashiers check money order cash
