A-Pass-Weikel Institute
Two Day Cram Course
REGISTRATION FORM

Seating is limited! Reserve your place by printing this form, filling it in, and faxing or mailing it today. Louisville FAX (502)458-3500
***2023***
____ January 28-29, 2023 Live Online
____ February 18-19, 2023 Live Online
____ March 25-26, 2023 Live Online
____ April 29-30, 2023 Live Online
____ May 21-22, 2023 Live Online
____ June 24-25, 2023 Live Online
____ July 29-30, 2023 Live Online
____ August 26-27, 2023 Live Online
____ September 29-30, 2023 Live Online
____ October 21-22, 2023 Live Online
____ November 18-19, 2023 Live Online
____ December 16-17, 2023 Live Online
***2024***
____ January 27-28, 2024 Live Online
____ February 17-18, 2024 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 or 21st edition and the KREC License Law Manual prior to class.
Class Login & Orientation Begins @ 8:40AM Eastern Time
Class Time: 9:00AM - 5:45PM Eastern Time
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