ONE-DAY LIVE EXAM PREP COURSE

SEMINAR REGISTRATION

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You are registering for the following One-Day Live RE Exam Prep Class - Broker Session:

  Date: Saturday, September 9, 2017
Time: 8:30 am
Sponsor: Duane Gomer Seminars
Phone: (800) 439 - 4909
Location: Arcadia Assoc. of Realtors
601 S. First Ave.
Arcadia, CA  91106
(626) 446 - 2115

Price:

$150.00

Please provide us with the following registration information.   All fields are required.


BILLING INFORMATION
First Name:
Last Name:
Address:
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Zip Code:
Daytime Phone:
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e-Mail:


SHIPPING INFORMATION

Same Address as the Billing Address

 

Please provide a shipping address where someone will be available to accept the materials.
Please, no PO Boxes.

Company Name (Opt.):
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PAYMENT METHOD

We gladly accept Visa Card, American Express, MasterCard, Discover Card

An amount of $150.00, payable to Duane Gomer, Inc. will charged on the credit card that you provide below.

Credit Card Number:
Expiration Date:
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 Location of Card Verification Code 
Amex
Visa / MC / Discover