Payment must be received in advance to reserve seating. |
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The Butler Company 2012 Seminar Registration - Print Form |
The form below should be Faxed to: 757-627-0229 or Emailed to: carolbutler@cavtel.net |
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Phone: 757-409-7614 (voice) if you have any questions |
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Last Name: |
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First Name & middle initial: |
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| If registering as a individual skip to address field | |
Company Name: |
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Address: |
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City, State, Zip Code: |
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Telephone: |
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Fax: |
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e-mail: |
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| PRE-LICENSING |
TITLE AGENTS CONTINUING EDUCATION |
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1-day class (9 AM - 5 PM) ($80 pd for online course; total $520) |
4 hours (includes 2 Law & Regs)
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| Jan. 23 - Vienna VA (Upon completion of online course) | Feb. 22 - West end of Richmond (1:00 PM - 5:00 PM) |
| Feb. 8 - Va. Beach (Upon completion of online course) | March 13 - Charlottesville (9:00 AM - 1:00 PM) |
| Feb. 13 - Richmond (Upon completion of online course) | April 17 - Northern VA (9:00 AM - 1:00 PM) |
| Feb. 23 - Fairfax VA (Upon completion of online course) | April 24 - VA Beach (1:00 PM - 5:00 PM) |
| March 12 - Fairfax (Upon completion of online course) | June 5 - Roanoke (9:00 AM - 1:00 PM) |
| April 16 - Northern VA (Upon completion of online course) | June 19 - Northern VA (9:00 AM - 1:00 PM) |
| April 23 - Tidewater (Upon completion of online course) | July 10 - Northern VA (9:00 AM - 1:00 PM) |
| May 7 - Richmond (Upon completion of online course) | July 23 - Newport News (9:00 AM - 1:00 PM) |
| June 4 - Roanoke (Upon completion of online course) | Aug. 7 - Richmond (1:00 PM - 5:00 PM) |
| June 18 - Northern VA (Upon completion of online course) | Sept. 21 - Norfolk (9:00 AM - 1:00 PM) |
| July 9 - Northern VA (Upon completion of online course) | Oct. 16 - Northern VA (9:00 AM - 1:00 PM) |
| July 16 - Tidewater (Upon completion of online course) | Nov. 7 - Williamsburg (9:00 AM - 1:00 PM) |
| Aug. 6 - Richmond (Upon completion of online course) | Nov. 13 - Northern VA (9:00 AM - 1:00 PM) |
| Aug. 13 - Northern VA (Upon completion of online course) | Dec. 4 - Northern VA (9:00 AM - 1:00 PM) |
| Sept. 14 - Northern VA (Upon completion of online course) | Dec. 5 - Charlottesville (9:00 AM - 1:00 PM) |
| Sept. 19 - Norfolk (Upon completion of online course) | Dec. 10 - VA Beach (9:00 AM - 1:00 PM) |
| Oct. 15 - Northern VA (Upon completion of online course) | |
| Nov. 12 - Northern VA (Upon completion of online course) | |
| Dec. 3 - Northern VA (Upon completion of online course) | |
Method Of Credit Card Payment: NOTE: VISA, MASTERCARD AND DISCOVER ONLY!
MASTERCARD
VISA
DISCOVER
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| Card holders name: | |
| Card holders Address as it appears on card: | |
| Card holders Address as it appears on card: | |
| Card number: | |
| Expiration date: | |
| Signature: | |
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EMAIL NOTICE: This message contains information which is confidential and may also be privileged. It is for the exclusive use of the intended recipient(s). If you are not the intended recipient(s) please note that any form of distribution, copying or use of this communication or the information in it is strictly prohibited and may be unlawful. If you have received this communication in error please return it to the sender. We would be grateful if you would also tell us on our Contact Form then delete the email and destroy any copies of it. Thank you |
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| Disclaimer: Your information will be kept confidential and is for the sole use of The Butler Company. It will not be distributed to third parties. |
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