Registration Form
a.	SALES PRE-LICENSE	□	f.	REVIEW	□
b.	SALES POST LICENSE	□	g.	CAM	□
c.	BROKER PRE-LICENSE	□	h.	APPRAISAL	□
STUDENTS NAME: ___ _________________________________________________________________________________________________________________ Last First  M.I.
MAILING ADDRESS:______________________________________________________________________________________________ Street or P.O. Box   Unit #
___________________________________________________________________________________________________________________ City                                       State                                      Zip
PHONE NUMBER: Home ____ ____________________ Business _____ __________________ Cell___________ _________Fax __________ ______________Email_ __________________________________
COURSE BEGINNING DATE: _________________________________ CLASS TIME: DAY ____  EVES. & SAT. ____ LOCATION ______FT.MYERS _______OTHER
METHOD OF PAYMENT: _____ VISA   _____  MASTERCARD   _____  CHECK (CHECK # ___________ )   _________  M.O.
CREDIT CARD INFORMATION: VISA - MC #:_____________________________________ EXP. DATE:_________________
SIGNATURE ON CARD: ____________________________________________________________________
The non-refundable registration deposit is $150 and reserves your seat in the class.  You are also welcome to pay the full fee when you register.  All balances are due when the class begins. The balance will be the difference between the full fee and the down payment.  The class may be subject to postponement or cancellation without prior notice in which event I will have the option of a 100% refund excepting $50 for any text taken early and not in perfect condition.
I understand and agree to the foregoing.   ________________________________________________________________________________________  Signature                                                                                                                Date
PAYMENT:  Circle one:       $150       $194   $225      $245    $325 $425 $755 _______other
Please fax to (239) 466-6730 or mail to AmeriFlorida Real Estate School, 14741 Eden Street, Fort  Myers, FL 33908. Please make checks and money orders payable to AmeriFlorida. For more information or or answers to questions, email us at Ameriflorida@comcast.net or call (239) 466-7722. CONFIRMATION NOTICE: Receipt of your registration will be confirmed by mail, fax, email or phone.  Be sure they are entered clearly above.