Enrollment Agreement (U2) Unit 2 Application Class Information: Unit 2 Daily Topics* 9:00AM - 3:30PM Choose Dates for each (7) boxes below▼ ■ 1st month attend'g Unit 2 Course? Begin Month ---U2 Class in APRU2 Class in LATE APR/MAYU2 Class in MAYU2 Class in JUNU2 Class in JULU2 Class in AUGU2 Class in SEPU2 Class in OCT ■ CONFIRM 1st month attend'g Unit 2 Course? Confirm Month ---U2 Class in APRU2 Class in LATE APR/MAYU2 Class in MAYU2 Class in JUNU2 Class in JULU2 Class in AUGU2 Class in SEPU2 Class in OCT Agency and Property Disclosure (Module A) Monday ---No Mod A Class Needed4/19/18 Thursday (A)4/30/18 Monday (A)5/21/18 Monday (A)6/18/18 Monday (A)7/30/18 Monday (A)8/20/18 Monday (A)9/24/18 Monday (A)10/22/18 Monday (A) Real Estate Contracts (Module B) Tuesday ---No Mod B Class Needed4/24/18 Tuesday (B)5/01/18 Tuesday (B)5/22/18 Tuesday (B)6/19/18 Tuesday (B)7/31/18 Tuesday (B)8/21/18 Tuesday (B)9/25/18 Tuesday (B)10/23/18 Tuesday (B) Investment and Taxation (Module E) Wednesday ---No Mod E Class Needed4/25/18 Wednesday (E)5/2/18 Wednesday (E)5/23/18 Wednesday (E)6/20/18 Wednesday (E)8/1/18 Wednesday (E)8/22/18 Wednesday (E)9/26/18 Wednesday (E)10/24/18 Wednesday (E) Ethics and Real Estate (Module C) Thursday ---No Mod C Class Needed4/26/18 Thursday (C)5/3/18 Thursday (C)5/24/18 Thursday (C)6/21/18 Thursday (C)8/2/18 Thursday (C)8/23/18 Thursday (C)9/27/18 Thursday (C)10/25/18 Thursday (C) Measurement and Valuation (Module D) Friday ---No Mod D Class Needed4/27/18 Friday (D)5/4/18 Friday (D)5/25/18 Friday (D)6/22/18 Friday (D)8/3/18 Friday (D)8/24/18 Friday (D)9/28/18 Friday (D)10/26/18 Friday (D) * 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: ---ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip Code: Home Phone: Business Phone: Fax Number: Cell Phone: Email Address:* How did you hear about us? ---Internet/WebSocial MediaFormer StudentREALTOR®Wyatt SignWord of MouthNewspaperYellow PagesVoice MailOther 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 first day of class. Credit Card is required for all ONLINE submissions. Checks, Cash, and Money Orders accepted at main office or by mail. Class OPTION(s): (choose only ONE of the options below) *required ALLSPLITPER CLASS Class Options explained: ALL CLASS(ES): I am taking all five modules/days in one month. I do not plan to split any of my classes up. I UNDERSTAND that 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 at 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. Payment in full will be due at the first class. PER CLASS(ES): I UNDERSTAND and choose the option to "Pay as I go" and that the cost for each class will be $80. I have selected class date on this application. PAYMENT CHOICE : *Choose Payment Choices HERE:FULL AMOUNT OPTIONS: $300 Full Amount - All 5 days this week $310 - Split Classes over TWO Months $320 - Split Classes over THREE Months $330 - Split Classes over FOUR months $340 - Split Classes over FIVE monthsDEPOSIT OPTIONS: (balance due at first class) $ 150 - Deposit (Plan to take all 5 days this month) $ 150 - Deposit (Plan to SPLIT Classes over TWO months) $ 150 - Deposit (Plan to SPLIT Classes over THREE months) $ 150 - Deposit (Plan to SPLIT over FOUR months) $ 150 - Deposit (Plan to SPLIT over 5 months)PAY AS YOU GO OPTION: $80 - Taking Only ONE Class (Payment due to register class) CHARGE to Credit Card: *choose one:VISAMasterCard «« VISA or MasterCard ONLY Card #: * 3-digit security code: * Expiration Date (MM/YY): * Name on Card: * Billing Address Number (used to process credit card): * 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 #2 of the Terms and Policies require me to give timely notice or forfeit tuition paid.