Seating is limited! Reserve your place by printing this form, filling it in, and faxing or mailing it today.
Louisville FAX (502)458-3500
____ Sunday, January 20, 2019 * Louisville * 4400 Breckenridge Lane #310
____ Thursday, March 7, 2019 Lexington * 820 Lane Allen Road
Class Time: 9:00AM - 4:00 PM Classroom door closes 10 minutes after the class begins.
Students arriving late will not be admitted.
Save $10 per license with EARLY BIRD SPECIAL if prepaid more than 10 days in advance.
Price:$75.00 per license if paid less than 10 days before 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_____________
KY Auction License#____________ Principal Auctioneer__________________________
KY Real Estate License#____________ Principal Broker__________________________
Cell Phone ________________________ Home Phone_________________________
Principal Auctioneer ______________________________ Make checks payable to: A-Pass-Weikel
Please bill my ___ MasterCard or ___ Visa for the following amount $_______.
Card #:________________________________ Exp. Date______
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.
Call Today! Louisville: 502-456-1920 *** Lexington: 859-278-0581
Web Site: www.apassweikel.com *** E-mail: firstname.lastname@example.org
REGISTER BY MAIL: A-Pass-Weikel Institute, 4400 Breckenridge Lane, Suite 310, Louisville, KY 40218