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

Virtual seating is limited! Reserve your place by printing this form, filling it in, and faxing or mailing it today.
FAX (502)458-3500

2021
____ Sunday, March 14, 2021 - Live Online Presentation
____ Wednesday, November 24, 2021 - Live Online Presentation
Our goal is to have 1 KREC Core Course per month March - August, 2 per month September - November and 3 in December
Click here to read System Requirements for Attendees. To receive credit for attending the course, students are required to use a laptop or a desktop with a webcam and microphone. For best results, use a hard wired connection to high speed internet service. Students are required to have a cell phone capable of sending selfies and texting. After registering online, you will receive a confirmation email containing information about joining the training.

***Verify your license number and Continuing Education Status***
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 & verify your CE status.

ALL TIMES ARE EASTERN TIME ZONE
Class Time: 9:00AM - 4:00 PM. Please print class materials prior to class. Class login will begin at 8:40AM Virtual classroom door closes 10 minutes after the class begins. Students arriving late or returning late from breaks or lunch will be denied credit for the program according to KREC policy. Students who are denied credit for the program will be given one opportunity to repeat the course at the next regularly scheduled program at no additional charge. (Note: $1,000 KREC fine may apply.)
Please return KREC Core Course Evaluation Form between 4:00PM - 4:30PM Eastern Time on the day of class to receive credit.

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_________________________ Birth Date ___/___/____

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.
Call Today! Louisville: 502-456-1920 *** Lexington: 859-278-0581
Web Site: www.apassweikel.com *** E-mail: info@apassweikel.com


REGISTER BY MAIL: A-Pass-Weikel Institute, 4400 Breckenridge Lane #310, Louisville, KY 40218