Application
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MIDDLETON REAL ESTATE TRAINING, INC. 6-Hour Real Estate Continuing Education 1000, L5426, L5427 Registration Form
Tuition Pre-Paid:
$60.00 -Tuition Walk-In $65.00 |
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PLEASE REMIT TO:
MIDDLETON REAL ESTATE TRAINING INC 20300 CIVIC CENTER DR. SUITE 103 PHONE:(248) 355-3940
FAX: (248) 355-0532 |
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NAME |
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ADDRESS |
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CITY
STATE ZIP |
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HOME PHONE (
) WORK
PHONE ( )
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PERMANENT I.D.#650 |
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CLASS DATE |
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VISA/MASTER CARD |
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EXPIRATION DATE |
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SIGNATURE |
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$25.00 SERVICE FEE
FOR RETURNED CHECKS * MUST CANCEL PRIOR TO CLASS DATE FOR REFUND |