Fax or Mail Registration
Please enroll me in (mark the one that applies and include the appropriate fee.) Please add $8.00 for shipping for these packages.
________6 Hour Broker Management Course $ 99.00
Satisfies The Broker Managment classroom requirement
________Broker Package One $130.00
12 hour continuing education credit.
· 6 hour Broker Management Class
· 6 hour of self study Core/Elective CE
Core A #164.0000367
Professional Ethics #164.0001382
________ Broker Package Two $160.00
18 hour continuing education credit
· 6 hour Broker Management Class
· 6 hour of self study Core
Core A #164.0000367, Core B #164.0000366
· 6 hour of self study Elective
Professional Ethics #164.0001382 (3 hours)
Environmental Issues #164.0000368 (3 hours)
Personal Information - Please Print
Name:_______________________________________________________________________
Address______________________________________________________________________
City________________________________State_________________ZIP_________________
Phone__(________)___________________________Email____________________________
Real Estate License #___________________________________________________________
Total Amount $_____________(Include shipping if Applicable
Payment: ______ Check _____Cash _____Visa _____ MasterCard_____AMEX_____Discover
Credit Card #_______________________________________________________
Expires_______________________ CVC________________________________
To enroll by phone: Call: (800) 238-5404.
To enroll by fax, print and complete this form and fax to (630) 844-0410.
To enroll by mail, print and complete this form and mail to: The Illinos Academy of Real Estate, 318 N. Lake Street, Aurora, IL 60506
