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CLASSROOM CONTINUING EDUCATION Don’t Wait Until the Last Minute! 8 Hours CE credits available on each daySIGN UP FOR 2 TO 8 HOURSPlease 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. SIGN UP FOR 2 to 8 HOURS All NEW approved course (so no duplications from the 2006 to 2008 period) “These courses are approved by the South Carolina Department of Insurance for Continuing Insurance Education Credit” Instructors: Irv Wiese, MBA, 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 100 Columbia, SC 29210 Questions: Toll Free (888) 285-8376 Local 216-0271 Fax 216-0275E-Mail MWgroup27@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 __________________________________
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Send mail to mwgroup27@iwantce.com
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