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Mail To:
Andy Beverly's Florida
Insurance School
P.O. Box 3522
Tallahassee, Florida 32315-3522
(850) 878-5091, Fax: (850) 878-0235
1-800-634-5813
Pre-registration
required 5 working days prior to first day of class.
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Name__________________________________
Address________________________________ City____________________ Zip_____________ Return to: Florida Insurance
School ____Check Enclosed Charge My: ____Visa____ MasterCard Acct. #_________________________________ Amt.$______________ Exp. Date___________ Signature______________________________ Print Name_____________________________ Refunds will be issued as credit for future classes only. *********************************************************** Received__________________________________ Amt. $_______________Per. ________Co. ______ Company__________________________________ |
Phone______________________________ Daytime
Fax #_______________________________ SS #________________________________ Check One ____ License Exam Prep Agent/Adjuster/Cust. Rep. ____ Life/Health & VA Qualification Courses * ____ Limited Lines Qualification ___APD___ LCR ____ Property & Casualty Qualification Courses ____ 40-hour P&C for CSR's ____ Surplus Lines Qualification Course ____ Surplus Lines Examination Preparation Course ____ Personal Lines Qualification Courses ____ Video Conferencing Class Class #_________________ City________________________________ Textbooks must be ordered 5 working days
in advance of class date. |