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Registration Form
Please Print this form, Fill out, and Mail to: Ed Kettley, Jr., Instructor KETTLEY REALTORS PRE-LICENSING COURSE 503 w. Galena Blvd. Aurora, IL 60506
Contact Ed with questions at 630-518-2114 Direct,or Email: kettley1@juno.com
SALESPERSON PRE-LICENSE COURSE: CLASSROOM only
Date of Class:________________________________
Location:____________________________________
Name:_________________________________________
Address:_______________________________________
______________________________________________
City/Zip:________________________________________
Social Security #:____________________________ (Required for State Licensing)
Home Phone:_______________________________
Work Phone:________________________________
Email:______________________________________
FEES: Pre-License Course: $260 includes books/materials ($50. deposit applies to fee)
Payment by Check or Cash
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