A-Pass-Weikel Institute
Kentucky Core Course
FAX REGISTRATION FORM

Seating is limited! Reserve your place by printing this form, filling it in, and faxing it today.
Louisville FAX (502)458-3500 - Lexington FAX (859)317-9727 - Edgewood FAX (859)341-9409

____ Saturday, October 17, 2009 Louisville * 1920 Goldsmith Lane
____ Friday, October 23, 2009 Lexington
____ Friday, October 30, 2009 Edgewood
____ Saturday, November 7, 2009 Louisville * 1920 Goldsmith Lane
____ Wednesday, November 18, 2009 Edgewood
____ Wednesday, November 25, 2009 Lexington
____ Saturday, December 5, 2009 Louisville * 1920 Goldsmith Lane
____ Friday, December 11, 2009 Lexington
____ Monday, December 14, 2009 Fort Mitchell, KY * Drawbridge Inn * 2477 Royal Drive
____ Friday, December 18, 2009 Louisville * 1920 Goldsmith Lane
____ Monday, December 28, 2009 Lexington
____ Tuesday, December 29, 2009 Louisville * 1920 Goldsmith Lane


***New since 2008.***
The KREC now requires that you provide your license number when you enroll
in continuing education courses and sign attendance roll sheets in class.

Click here to obtain your KREC license number.

Class Time: 9:00AM - 4:00 PM Classroom door closes 10 minutes after the class begins. Students arriving late according to KREC policy will not be admitted.
Price:$45.00 for prepayment or $55.00 if paid on the day of class. *** Maps & Driving Directions

Note: Please use your name as it appears on your license.

Last Name_____________________________ First Name____________________ MI_____

Home Address________________________________________________________Last 4 of S.S.#_________

City_________________________________ State_______ Zip_____________KREC License#____________

Cell Phone ________________________ Home Phone_________________________

Principal Broker ______________________________
Make checks payable to: A-Pass-Weikel
Please bill my ___ MasterCard or ___ Visa for the following amount $_______.

Card #:________________________________ Exp. Date______

Signature___________________________ E-mail____________________________________

Note: No refunds for no-shows. Ten minutes late equals a no-show. Refunds are only issued if we receive written notice 24 hours prior to the beginning of class.
Auctioneers: This program is Kentucky Board of Auctioneers approved for continuing education.
Call Today! Louisville: 502-456-1920 *** Lexington: 859-278-0581 *** Edgewood: 859-341-9440
Web Site: www.apassweikel.com *** E-mail: info@apassweikel.com