ABRC Self-Study Courses Order Form

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of Insurance
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Contact ABRC by E-Mail
Continuing Education Program Order Form

There are four ways to order your ABRC® program:

Complete the order form below and press "Enter Information" to e-mail your order to us. We will confirm your order by e-mail on our next business day.

Complete the order form below. You may then print this page, fill in your MasterCard, Visa or Discover card information by hand after it has been printed, and then fax the completed form to us 24 hours a day at (217) 753-1574.

Order by phone, charging to your MasterCard, Visa or Discover card. Call toll-free at 1-888-753-2272.

Complete the order form below. You may then print this page and mail your order form with your check or money order to ABRC®, 3 Lawrence Square, Springfield, IL 62704.

ILLINOIS DEPARTMENT OF INSURANCE COURSE CERTIFICATION FEES
Effective August 1, 2010, a fee of up to $24 is being charged for certification to the state Insurance Department for course completion. Insurance education providers are being allowed by the state Insurance Department to pass those costs on to students. The long-term ABRC® policy has been that when our valued customer pays the ABRC® course fee there would be no additional charges after initial enrollment. To maintain our commitment of no extra charges after the course fee is paid, we are implementing a small course fee increase.

Please complete all order fields!

Life/Health Insurance

L/H 023 - Financial Planning I - $110.00 - 12 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

L/H 032 Financial Planning II - $110.00 - 12 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

L/H 035 - Estate Planning - $110.00 - 12 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

L/H 007 - Illinois Traditional Long-Term Care Insurance - $75.00 - 6 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

L/H 018 - Medicare Supplement Insurance - $110.00 - 12 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

L/H 010 - Introduction To Life Insurance - $110.00 - 12 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

L/H 027 - Annuity Concepts - $75.00 - 9 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

L/H 036 - Principles of Retirement Planning - $110.00 - 12 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

L/H 012 - Business Life & Health Insurance - $110.00 - 12 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

L/H O26 - Group Insurance - $110.00 - 12 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

L/H O31 - Ethical Practices - $110.00 - 12 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

L/H O33 - Variable Contracts - $110.00 - 12 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

L/H O37 - Variable Universal Life - $110.00 - 12 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

L/H O38 - Long Term Care Insurance (Required) - $75.00 - 8 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

Property/Casualty Insurance

P/C 007 - Homeowner Coverage - $110.00 - 12 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

P/C 008 - Dwelling Coverage - $110.00 - 12 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

P/C 020 - Personal Auto Coverage - $110.00 - 12 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

P/C 011 - Personal Inland Marine and Watercraft Coverage - $110.00 - 12 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

P/C 012 - Umbrella Liability Coverage - $110.00 - 12 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

P/C 005 - Commercial Property Coverage - $110.00 - 12 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

P/C 006 - Commercial General Liability Coverage - $110.00 - 12 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

P/C 018 - Commercial Auto Coverage - $110.00 - 12 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

P/C 014 - Commercial Crime Coverage - $110.00 - 12 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

P/C 015 - Commercial lnland Marine Coverage - $110.00 - 12 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

P/C 016 - Property Casualty Insurance Package Policies for Small Businesses - $110.00 - 12 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

P/C 017 - Workers Compensation Coverage - $110.00 - 12 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

P/C 019 - Business Income Coverage - $110.00 - 12 hours
(includes 8% Illinois Sales Tax as well as all shipping and handling charges)

Your Name

Email Address

Home Street Address, City, State & Zip

Social Security Number

Telephone Number

Agency or Company Representing (if affiliated -- no affiliation required)

Manager's Name

Agency or Company Manager Street Address, City, State & Zip

Agency or Company Telephone Number

Agency or Company Fax Number

Agency or Company Email

Payment Method:
MasterCard VISA Discover Card Check Money Order

Credit Card Number

Expires

Card ID (3 numbers located on back of card)

Name as it Appears on Card


Credit Card Billing Address


Shipping Information

Ship UPS next day to my business address other than my home.
(No additional charge)

Ship UPS 2 day delivery to my home address.
(No additional charge)

Ship UPS overnight delivery by 10 a.m. to my home
($35.00 additional charge applies)

  Are you associated with a IIA of Illinois member agency?

Please complete all order fields!


ABRC HOME	INSURANCE PRE-LICENSE SEMINAR INFORMATION	INSURANCE PRE-LICENSE SEMINAR SCHEDULE	INSURANCE EXAM INFORMATION	CONTINUING EDUCATION PROGRAMS	ONLINE CONTINUING EDUCATION FINAL EXAM	SECURITIES LICENSE PROGRAMS	PEARSON VUE	IILLINOIS DEPARTMENT OF INSURANCE	CERTIFIED FINANCIAL PLANNER (CFP) BOARD OF STANDARDS	CONTACT ABRC BY E-MAIL

ABRC Home Insurance Pre-License Seminar Information Insurance Pre-License Seminar Schedule Insurance Pre-License Seminar Registration Insurance Exam Information Continuing Education Programs Continuing Education Program Order Forms Online Continuing Education Final Exam FINRA Program Order Forms FINRA Programs Pearson VUE Illinois Department of Insurance Certified Financial Planner (CFP) Board of Insurance Contact ABRC by E-Mail
	There are four ways to order your ABRC® program: Complete the order form below and press "Enter Information" to e-mail your order to us. We will confirm your order by e-mail on our next business day. Complete the order form below. You may then print this page, fill in your MasterCard, Visa or Discover card information by hand after it has been printed, and then fax the completed form to us 24 hours a day at (217) 753-1574. Order by phone, charging to your MasterCard, Visa or Discover card. Call toll-free at 1-888-753-2272. Complete the order form below. You may then print this page and mail your order form with your check or money order to ABRC®, 3 Lawrence Square, Springfield, IL 62704. ILLINOIS DEPARTMENT OF INSURANCE COURSE CERTIFICATION FEES Effective August 1, 2010, a fee of up to $24 is being charged for certification to the state Insurance Department for course completion. Insurance education providers are being allowed by the state Insurance Department to pass those costs on to students. The long-term ABRC® policy has been that when our valued customer pays the ABRC® course fee there would be no additional charges after initial enrollment. To maintain our commitment of no extra charges after the course fee is paid, we are implementing a small course fee increase.
	Please complete all order fields! Life/Health Insurance
		L/H 023 - Financial Planning I - $110.00 - 12 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
		L/H 032 Financial Planning II - $110.00 - 12 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
		L/H 035 - Estate Planning - $110.00 - 12 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
		L/H 007 - Illinois Traditional Long-Term Care Insurance - $75.00 - 6 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
		L/H 018 - Medicare Supplement Insurance - $110.00 - 12 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
		L/H 010 - Introduction To Life Insurance - $110.00 - 12 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
		L/H 027 - Annuity Concepts - $75.00 - 9 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
		L/H 036 - Principles of Retirement Planning - $110.00 - 12 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
		L/H 012 - Business Life & Health Insurance - $110.00 - 12 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
		L/H O26 - Group Insurance - $110.00 - 12 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
		L/H O31 - Ethical Practices - $110.00 - 12 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
		L/H O33 - Variable Contracts - $110.00 - 12 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
		L/H O37 - Variable Universal Life - $110.00 - 12 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
		L/H O38 - Long Term Care Insurance (Required) - $75.00 - 8 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
	Property/Casualty Insurance
		P/C 007 - Homeowner Coverage - $110.00 - 12 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
		P/C 008 - Dwelling Coverage - $110.00 - 12 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
		P/C 020 - Personal Auto Coverage - $110.00 - 12 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
		P/C 011 - Personal Inland Marine and Watercraft Coverage - $110.00 - 12 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
		P/C 012 - Umbrella Liability Coverage - $110.00 - 12 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
		P/C 005 - Commercial Property Coverage - $110.00 - 12 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
		P/C 006 - Commercial General Liability Coverage - $110.00 - 12 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
		P/C 018 - Commercial Auto Coverage - $110.00 - 12 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
		P/C 014 - Commercial Crime Coverage - $110.00 - 12 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
		P/C 015 - Commercial lnland Marine Coverage - $110.00 - 12 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
		P/C 016 - Property Casualty Insurance Package Policies for Small Businesses - $110.00 - 12 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
		P/C 017 - Workers Compensation Coverage - $110.00 - 12 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
		P/C 019 - Business Income Coverage - $110.00 - 12 hours (includes 8% Illinois Sales Tax as well as all shipping and handling charges)
	Your Name Email Address Home Street Address, City, State & Zip Social Security Number Telephone Number Agency or Company Representing (if affiliated -- no affiliation required) Manager's Name Agency or Company Manager Street Address, City, State & Zip Agency or Company Telephone Number Agency or Company Fax Number Agency or Company Email
	Payment Method: MasterCard VISA Discover Card Check Money Order Credit Card Number Expires Card ID (3 numbers located on back of card) Name as it Appears on Card Credit Card Billing Address Shipping Information Ship UPS next day to my business address other than my home. (No additional charge) Ship UPS 2 day delivery to my home address. (No additional charge) Ship UPS overnight delivery by 10 a.m. to my home ($35.00 additional charge applies) Are you associated with a IIA of Illinois member agency? Please complete all order fields!