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| Registrant Information |
| Name: * |
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Social Security Number: * |
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Birth Date (Month/Day/Year): * |
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| Recruiter / Manager (if
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| Prelicensing Classes |
| Property & Casualty: $231 (Textbook included.) |
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Jan 18-20, 2024 • Tupelo
Feb 15-17, 2024 • Tupelo
Mar 14-16, 2024 • Tupelo
Apr 18-20, 2024 • Tupelo
May 16-18, 2024 • Tupelo
Jun 13-15, 2024 • Tupelo
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Jul 18-20, 2024 • Tupelo
Aug 15-17, 2024 • Tupelo
Sep 12-14, 2024 • Tupelo
Oct 17-19, 2024 • Tupelo
Nov 14-16, 2024 • Tupelo
Dec 12-14, 2024 • Tupelo
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| Textbooks & Study Aids |
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Have Your Orders Shipped Directly To You Before Class: $12 (USPS Media Mail, 4-8 Day Service)
Have Your Orders Shipped Directly To You Before Class: $18 (USPS Priority Mail, 2-3 Day Service)
Have Your Orders Shipped Directly To You Before Class: $26 (USPS Overnight Service)
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| Payment Information |
| Method of Payment: * |
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| Credit Card Number: |
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Expiration Date: |
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3 Digit Verification Code on Back of Card
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If sending payment as check or money order, please submit payment to:
SUCCESS LEARNING, INC.
P.O. BOX 2221
TUPELO, MS 38803
Once payment has been received and processed, your order will ship promptly.
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