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Insurance Pre-License Seminars

Meets State Required Three Hour Ethics Webinar/Seminar
under Public Act 96-0839 (215 ILCS5/500-35)

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INSURANCE PRODUCER CONTINUING EDUCATION BUNDLE DEAL
Purchase any combination of our 30 courses that provide 21 hours or more of continuing education – and get your 3 hour state required Ethics webinar/seminar FREE

FOUR WAYS TO USE THIS ABRC® REGISTRATION FORM

  1. Register by mail paying by Check, Money Order, American Express, MasterCard, Visa or Discover Card.
    Please make Checks and Money Orders payable to ABRC® and mail to Three Lawrence Square, Springfield, IL 62704
  2. Register by phone, charging to your American Express, MasterCard, Visa, Discover Card or Check By Phone call 1-800-654-ABRC
  3. Register 24 hours a day on the ABRC® Web page at www.abrc.com, charging to your American Express, MasterCard, Visa or Discover Card.
  4. Register 24 hours a day by fax to ABRC® at 1-217-753-1574, charging to your American Express, MasterCard, Visa or Discover Card.
at and at

Your Name

Home Street Address

City

State

Zip

Social Security Number

National Producer Number

License Expiration Date

Funeral Directors 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:
American Express MasterCard VISA Discover Card
Money Order Check By Phone

Credit Card Number

Expires

CVV

Name as it Appears on Card

Cardholder's Phone Number

Credit Card Billing Address


Select "YES" if you are you associated with an IIA of Illinois member agency.

PROMOTIONAL CODE

Please specify what time and phone number you would like us to contact you to process your Check By Phone registration.

Time

Phone Number


ABRC® Registration Disclosure. I authorize this information to be electronically transmitted via email. I understand employees of ABRC® will read this information and may contact me with questions.


Please complete all order fields!

ABRC® RESCHEDULE CANCELLATION POLICY

If you are unable to attend as registered, ABRC® will re-register you to another date or location for up to one year from the original date registered with no fee or penalty applying if notified at least 72 business hours in advance of the original date registered. If the seminar/class has been previously rescheduled or changed no refund will be allowed. ABRC® will refund your fees with only a $20 registration/administration charge applying. Notice of rescheduling or cancellation can be only by phone during office hours or through our Contact form.