Enrollment Agreement (U2) Unit 2 Application Class Information: Unit 2 Daily Topics* 9:00AM - 3:30PM Choose Dates for ALL (7) boxes below▼ ■ 1st month attend'g Unit 2 Course? Begin Month ---U2 Class in DECU2 Class in JAN ■ CONFIRM 1st month attend'g Unit 2 Course? Confirm Month ---U2 Class in DECU2 Class in JAN » Agency and Property Disclosure (Module A) Monday Select Mod A's Date12/10/18 Monday (A)1/21/19 Monday (A)No Mod A Class Needed » Real Estate Contracts (Module B) Tuesday Select Mod B's Date12/11/18 Tuesday (B)1/22/19 Tuesday (B)No Mod B Class Needed » Investment and Taxation (Module E) Wednesday Select Mod E's Date12/12/18 Wednesday (E)1/23/19 Wednesday (E)No Mod E Class Needed » Ethics and Real Estate (Module C) Thursday Select Mod C's Date12/13/18 Thursday (C)1/24/19 Thursday (C)No Mod C Class Needed » Measurement and Valuation (Module D) Friday Select Mod D's Date12/14/18 Friday (D)1/25/19 Friday (D)No Mod D Class Needed * indicates REQUIRED fields below Student Information: Have you attended classes here before?* YesNo Company Name: First Name:* Middle Name: Last Name:* Nickname: for class purposes Social Security Number:* Street Address: City: State: ---ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip Code: Home Phone: Business Phone: Fax Number: Cell Phone: Email Address:* How did you hear about us? ---Internet/WebSocial MediaFormer StudentREALTOR®Wyatt SignWord of MouthNewspaperYellow PagesVoice MailOther Payment Information: Tuition OPTION(s): (choose only ONE of the options below) *required FULL AMOUNTDEPOSIT ONLY Tuition Options explained: Either FULL Amount (or) DEPOSIT will hold your seat in class; balance due before/at first day of class. Credit Card is required for all ONLINE submissions. Checks, Cash, and Money Orders accepted at main office or by mail. Class OPTION(s): (choose only ONE of the options below) *required ALLSPLITPER CLASS Class Options explained: ALL WEEK CLASS(ES): I UNDERSTAND and choose the option to take all five modules/days within one month. I do not plan to split any of my classes up. If I can't attend one or more modules, I must call the office to make arrangements to reschedule to another month. Date choices must be made for All 5 modules before submitting. Payment in full will be due before/at the first class. SPLITTING CLASS(ES): I UNDERSTAND and choose the option to split one or more modules/days over up to five consecutive months. This option will cost me an additional $10/each month for records management. I understand I must start and finish within five months or pay an additional $50 per class taken beyond five months. Date choices must be made for All 5 modules before submitting. Changes can be made by contacting us via phone or email. Payment in full will be due before/at the first class. PER CLASS(ES): I UNDERSTAND and choose the option to "pay per class" and that the cost for each class will be $80. I have selected class date on this application. PAYMENT CHOICE : *Choose Payment Choices HERE:ALL WEEK OPTIONs:⯁$300 - Full Amount - All 5 days this week⬙$150 - Deposit Only (All 5 days this week - Balance Due Before/At Class)SPLIT MONTH(s):⯁$310 - Full Amt: SPLIT Classes over TWO months⯁$320 - Full Amt: SPLIT Classes over THREE months⯁$330 - Full Amt: SPLIT Classes over FOUR months⯁$340 - Full Amt: SPLIT Classes over FIVE months⬙$150 - Deposit Only (SPLIT Classes over TWO months)⬙$150 - Deposit Only (SPLIT Classes over THREE months)⬙$150 - Deposit Only (SPLIT Classes over FOUR months)⬙$150 - Deposit Only (SPLIT Classes over FIVE months)PER CLASS:⯁$80 - Taking Only ONE Class (Full payment due to register class) CHARGE to Credit Card: *choose one:VISAMasterCard «« VISA or MasterCard ONLY Card #: * 3-digit security code: * Expiration Date (MM/YY): * Name on Card: * Billing Address Number (used to process credit card): * (numbers ONLY) Billing Zip Code: * Additional Notes to Office Manager (optional): Acceptance of Terms and Policies:* (check both boxes below to accept, after reading the Terms and Policies) Yes, I understand the Terms and Policies as part of this agreement. I am keeping a copy for my records. Yes, I understand #2 of the Terms and Policies require me to give timely notice or forfeit tuition paid.