Qualifier Plus IIIx Registration

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QUALIFIER PLUS IIIx
REGISTRATION FORM

Scottsdale location

Complete this form, print it,
then fax it to 480-949-5918.

Tuition:
$35. class only
$25. class if calculator purchased from school

Class Date:

NAME:

EMAIL:

HOME ADDRESS:

CITY, STATE, ZIP:

HOME PHONE:

BUSINESS PHONE:

CREDIT CARD:

       VISA MASTERCARD AMEX

EXP DATE:

SECURITY CODE:

By submission of this form I hereby authorize the Arizona School of Real Estate and Business to charge the amount indicated to the card number which I have provided.

Signature of Student______________________________________ Date_________

QUALIFIER PLUS IIIx REGISTRATION FORM

QUALIFIER PLUS IIIx
REGISTRATION FORM