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Insurance Pre-License Seminar Registration

There are four ways to register for an ABRC® seminar

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

  2. Complete the registration 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.

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

  4. Complete the registration below. You may then print this page and mail your registration 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 $40 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 registration fields!
 


For $260.00, please enroll me in the Life, Accident, and Health Seminar on:
  at  
(date) (city)
 
For $260.00, please enroll me in the Property/Casualty Seminar on:
  at  
(date) (city) 
 
For $450.00, please enroll me in both seminars:
Life, Accident, and Health Seminar on:
  at  
(date) (city)
and the
Property/Casualty Seminar on:
  at  
(date) (city)

Register for both seminars at the same time and SAVE MONEY!
Price Includes the all new, up-to-date ABRC Seminar workbook and practice questions and answers. No additional study books are required. If you are unable to attend as registered, we will re-register you to another date or location up to one year from the original date registered. If notified at least 48 hours in advance of the original date registered, we will refund your money with only a $15 registration/administrative charge applying. Prices and terms of this offer as well as this schedule are subject to change without notice.

Your Name
     
Home Street Address
     
City
     
State
     
Zip
     
     
Social Security Number
     
Telephone Number
     
Email
     
Agency or Company Representing
(if affiliated -- no affiliation required)
     
Manager's Name
     
Agency or Company Street Address
     
Agency or Company City
     
Agency or Company State
     
Agency or Company 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
     
 
  Are you associated with a IIA of Illinois member agency?
 
     

Please complete all order fields!

   
If you have any questions, or need additional
information, please call 1-888-753-ABRC toll free.
 
 

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