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 DEC- - - NEXT YEAR - - -U2 Class in JANU2 Class in FEBU2 Class in MARU2 Class in APRU2 Class in MAYU2 Class in JUNU2 Class in JULU2 Class in AUGU2 Class in SEPU2 Class in OCTU2 Class in NOVU2 Class in DEC ■ CONFIRM 1st month attend'g Unit 2 Course? Confirm Month ---U2 Class in DEC- - - NEXT YEAR - - -U2 Class in JANU2 Class in FEBU2 Class in MARU2 Class in APRU2 Class in MAYU2 Class in JUNU2 Class in JULU2 Class in AUGU2 Class in SEPU2 Class in OCTU2 Class in NOVU2 Class in DEC » Agency and Property Disclosure (Module A) Monday Select Mod A's Date12/16/19 Monday (A)- - - NEXT YEAR - - -1/20/20 Monday (A)2/17/20 Monday (A)3/23/20 Monday (A)4/27/20 Monday (A)5/18/20 Monday (A)6/15/20 Monday (A)7/20/20 Monday (A)8/17/20 Monday (A)9/28/20 Monday (A)10/26/20 Monday (A)11/16/20 Monday (A)12/14/20 Monday (A)No Mod A Class Needed » Real Estate Contracts (Module B) Tuesday Select Mod B's Date12/17/19 Tuesday (B)- - - NEXT YEAR - - -1/21/20 Tuesday (B)2/18/20 Tuesday (B)3/24/20 Tuesday (B)4/28/20 Tuesday (B)5/19/20 Tuesday (B)6/16/20 Tuesday (B)7/21/20 Tuesday (B)8/18/20 Tuesday (B)9/29/20 Tuesday (B)10/27/20 Tuesday (B)11/17/20 Tuesday (B)12/15/20 Tuesday (B)No Mod B Class Needed » Investment and Taxation (Module E) Wednesday Select Mod E's Date12/18/19 Wednesday (E)- - - NEXT YEAR - - -1/22/20 Wednesday (E)2/19/20 Wednesday (E)3/25/20 Wednesday (E)4/29/20 Wednesday (E)5/20/20 Wednesday (E)6/17/20 Wednesday (E)7/22/20 Wednesday (E)8/19/20 Wednesday (E)9/30/20 Wednesday (E)10/28/20 Wednesday (E)11/18/20 Wednesday (E)12/16/20 Wednesday (E)No Mod E Class Needed » Ethics and Real Estate (Module C) Thursday Select Mod C's Date12/19/19 Thursday (D)- - - NEXT YEAR - - -1/23/20 Thursday (C)2/20/20 Thursday (C)3/26/20 Thursday (C)4/30/20 Thursday (C)5/21/20 Thursday (C)6/18/20 Thursday (C)7/23/20 Thursday (C)8/20/20 Thursday (C)10/1/20 Thursday (C)10/29/20 Thursday (C)11/19/20 Thursday (C)12/17/20 Thursday (C)No Mod C Class Needed » Measurement and Valuation (Module D) Friday Select Mod D's Date12/20/19 Friday (C)- - - NEXT YEAR - - -1/24/20 Friday (D)2/21/20 Friday (D)3/27/20 Friday (D)5/1/20 Friday (D)5/22/20 Friday (D)6/19/20 Friday (D)7/24/20 Friday (D)8/21/20 Friday (D)10/2/20 Friday (D)10/30/20 Friday (D)11/20/20 Friday (D)12/18/20 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 #3 of the Terms and Policies require me to give timely notice or forfeit tuition paid.