|
|
PLEASE PRINT THIS FORM AND MAIL TO: OR FAX TO: 941-0241 Questions? Call Sue at 945-4766 or e-mail exec@naifa-me.org LIFE/HEALTH PRE-LICENSING
REVIEW
Thursday-Friday, February 25-26, 2010 Attire: Casual HOME (STREET) MAILING ADDRESS: ______________________________________________________________________ CITY/STATE/ZIP: ______________________________________________________________________ Want study materials mailed to a different address? If so, please indicate: MATERIALS MAILING ADDRESS: ______________________________________________________________________ CITY/STATE/ZIP: ______________________________________________________________________
PHONE: ______________________________ E-MAIL: ______________________________ Payment method: ___ Check ___ Visa ___ MasterCard Card number: ______________________________________________________ Expiration date: ______/______ Signature to authorize payment: _________________________________________ Cost includes instruction by Susan Willey McKay, CLU, ChFC, LUTCF. Textbook by STC, Exam Simulator CD-ROM; break refreshments; 1/2 hour lunch (cost of lunch not included); Bring your own lunch or we will have takeout service available. Checks should be made payable to NAIFA-ME. Please confirm by e-mail to exec@naifa-me.org that you would like to register for this course. We recommend that you do NOT e-mail your credit card information. Contact Pearson Vue directly to schedule an exam date: 1-800-274-4959 or http://www.asisvcs.com/indhome.asp?CPCAT=1220INS If you need special accommodations within the classroom, please note the details on your application. Refund policy: Requests for a partial refund must be received no later than 24 hours before the class. In lieu of a refund one may wait for our next class offering. (If the study materials have changed, an additional cost for updated materials will be charged). Thank you for your support of NAIFA-Maine! Please join or bring in a new member to YOUR professional association today!
|