A-Pass-Weikel Institute
Two Day Cram Course

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

____ December 18-19 Live Online
____ January 23-24 Live Online
____ February 13-14 Live Online
____ March 20-21 Live Online
Click here to read System Requirements for Attendees. To participate, students are required to use a laptop or a desktop with a webcam and microphone. Please print the course materials prior to class and complete the pre-class math assignment. 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. It is suggested that you read Modern Real Estate Practice, 20th edition prior to class.

Class Time: 9:00AM - 5:45PM
Lunch Break: 1:00PM - 1:45PM
Course Price:$145.00 for prepayment or $175.00 if paid on the day of class. Textbook:MREP: $37.05+ shipping.*** Maps & Driving Directions

Note: Please clearly print.

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.
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