Enrollment Agreement (U2) – Wyatt Institute of Real Estate

Unit 2 Application

Class Information:

Unit 2 Daily Topics*		9:00AM - 3:30PM
■	1st month attend'g Unit 2 Course?	Begin Month
■	CONFIRM 1st month attend'g Unit 2 Course?	Confirm Month
»	Agency and Property Disclosure (Module A)	Monday
»	Real Estate Contracts (Module B)	Tuesday
»	Investment and Taxation (Module E)	Wednesday
»	Ethics and Real Estate (Module C)	Thursday
»	Measurement and Valuation (Module D)	Friday

* 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: Zip Code:
Cell Phone: Home Phone: Business Phone: Fax Number: Email Address:* How did you hear about us?

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 by 3pm on the Thursday before class begins.

Credit Card is required for all ONLINE submissions.

Checks, Cash, and Money Orders accepted at the 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 the Thursday before 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 the Thursday before 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 : *
CHARGE to Credit Card: * «« 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.