DON’T DELAY      REGISTER NOW      LIMITED SEATING

TO ENROLL: MAKE A COPY OF THIS FORM for your records. Return the ENTIRE FORM  with $99.00 fee to American Notary Institute , 711 South Brea Blvd., Brea, CA  92821. For VISA/ MC: Fax form to (714) 671-2080. Questions? Call (714) 671-2889. No shows: an additional $50 reschedule fee will apply. $10 fee to reschedule class for second request. Refunds are allowed if written request is received by American Notary Institute 24 hours prior to commencement of seminar. $20 fee for bank returned checks. Schedule subject to change.

 

 

Name: __________________________________ Company Name: __________________________________________________

 

Day Phone: (_____) ______-_________ Fax: (_____) ______-___________ E-mail: ____________________________________

 

Home or Business Address _____________________________________________  ______________ ________ _____________

                                                                Street Address                                                                     City                     State          Zip Code

q       Enroll me for the Notary Seminar on __________________________ at _____________________________________

 

q       Make check for $99.00 payable to American Notary Institute

 

q       Charge $99.00 to VISA/MC #: ________________________________________ Exp. Date: _____/______/_____

 

Signature Required:_________________________________________