HOSTING classroom form - 2007

Office Information:
Name (and title): RVP SVP NSD SNSD
First:

Last:
Office Address: (physical)
City:
State:
Zip:
Office Phone#:
( ) - extension:
Office Fax #: () -
E-Mail Address: (optional)
Contact:
(The name of the individual we should speak to regarding class)
Class Information: (Securities only)
Which class are you interested in hosting? Series 6/63 Series 26 Series 6/26
Preferred class dates: &
*Classes normally run for 2 consecutive days over a weekend, however,
we are flexible and will hold weekday or multi-day classes if preferred.
Class Times: (check one) Saturday 8am-6pm / Sunday 8am-4pm
Saturday 8:30am-6:30pm / Sunday 8:30am-4:30pm
Saturday 12:30pm-9:30pm / Sunday 8:30am-5:30pm
Saturday 12 noon-9pm / Sunday 8am-5pm
About Your Office: Sq. Ft. of Meeting Room (where class will be held):
(Must be at least 800sq.ft.)
Room can accomodate how many people at:
TABLES: and in CHAIRS alone:
Student Fee: Basic instruction and classroom materials (hand-outs, textbooks & CDs) is:
$169.00 per person for a Series 6/63 class
$209.00 per person for a Series 26 class
Contact us for Series 6/26 pricing (# 800.535.0327)

*We offer spousal discounts! - click here for details
Safe List: Be sure to add jradjenovich@wi.rr.com to your e-mail "safe list".

Additional Comments, Questions or Requests:


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