CLASSROOM CONTINUING EDUCATION

 8 Hours CE credits available on each day

SIGN UP FOR 1 TO 8 HOURS

Please print these two pages; mark which courses you are planning to attend; fill in date and location; complete the bottom of the form and fax to (803) 216-0275.                    

  “These courses are approved by the South Carolina Department of Insurance for Continuing Insurance Education Credit”

Instructors:  Irv Wiese, CLU, ChFC, LUTCF  

                   Norris McClain, LUTCF

 Classroom instruction does not require an exam. 

 Return form with payment to:  MW Group Education Services

                                                1343 Garner Lane, Suite 202

                                                  Columbia, SC  29210  

Questions:  Toll Free (888) 285-8376 Local 216-0271 Fax 708-4802

                  E-Mail   kdoar21@iwantce.com 

For additional information, please refer to our website: www.Iwantce.com

Name: ______________________________ SS# ____________________

Address: ________________________________________________________________

Phone:  _______________  Fax: _____________ E-Mail __________

Class Date desired:________________ (from schedule)

Class location:_____________________  (from schedule)

Payment Method (select and complete all that apply) 

 My check for $_______ is enclosed (based on  $10.00 per hour)  Example:  $80.00 per day for all sessions.  Make check payable to: MW Group Education Services       **or***

Credit Card Type (circle)  MasterCard, Visa, American Express, Discover

Number ____________________________________

Expiration Month __________ Year ____________

Signature __________________________________