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 - Session:

  Date: Friday, April 5, 2019
Time: 9:00 am
Sponsor: Duane Gomer Seminars
Phone: (800) 439-4909
Location: Santa Clara Co. Assoc. of REALTORS
1651 N. 1st St.
San Jose, CA  95112
(408) 445-5081

Price:

$150.00

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


Student's Information
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Daytime Phone:
( ) -  
Email:


Shipping Information

Same Address as the Student's Address

 

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

Company Name (Opt.):
First Name:
Last Name:
Address:
City:
State:
Zip Code:


Real Estate License Type
 

Salesperson     Broker


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Payment Method

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:
 / 
Card Verification Code:
 Location of Card Verification Code 
Amex
Visa / MC / Discover
Accepted forms of payment
Visa Card, American Express, MasterCard, Discover Card