Certifying Agent Annual Verification Course Registration

Certifying Agent Annual Verification Course Registration
This course is for those that have already earned the FGBC Certifying Agent Designation.

By taking this course and passing you will earn the 7 points needed on the Certifying Agent Active Status Verification form.

The Certification Agent Verification course is an online course. Once you register you will have seven days to complete the course. You will have two chances to pass the end of the course exam. Failure to pass the course within the allotted time frame will require you to register for the class again after 30 days. There is limited availability for the course. Please confirm availability prior to registering as you may have to adjust your dates depending on availability.
Full Name*

PrefixFirst NameMiddle NameLast Name
Nickname
Company Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
Phone Number*

Area CodePhone Number
Cell Number

Area CodePhone Number
FGBC CA ID
This is your 4 digit CA# not your FGBC Member ID

Class Location*

Online $150.00

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country