Manual Registration Payment Form

Manual Registration Payment Form

Thank you for your interest in our classes! We are sorry that the Zoom Registration for your class is not working right now. Please complete this form and our staff will manually register you for your course. You will receive a confirmation email from Zoom within 1 business day.
What type of class would you like to register for?*
Start Date of Course

MonthDayYear
Date
How many courses would you like to sign up for?*
Course Link*
On our website, click "Sign Up Now" for the class you would like to sign up for and then copy that link here from your address bar so that we know exactly what class you would like to sign up for.
2nd Course Link*
On our website, click "Sign Up Now" for the class you would like to sign up for and then copy that link here from your address bar so that we know exactly what class you would like to sign up for.
Student Information

Please complete this information carefully and accurately to ensure that you receive credit for your courses and your confirmation emails.
Legal First and Last Name*

First NameLast Name
Email*
Phone Number*

Area CodePhone Number
NC Real Estate License Number*
Last 4 Digits of SSN (This is how we will report your course completion to the Real Estate Commission. They will match the last 4 Digits of your SSN with the full SSN you provide on their background check in order to confirm your completion of this course.) *
Agreements

Please agree to the following for your classes.
I certify that I have read and agree to the Distance Learning Agreement available at www.skylineschool.net/zoom*

Yes
I certify that I have read and agree to the Skyline School of Real Estate Policy and Procedures Document available at www.skylineschool.net/zoom*

Yes
I certify that I have visited www.skylineschool.net/zoom to either purchase or download a copy of the required text for this course.*

Yes
I certify that I understand that the courses that I am enrolling in are the ones listed as the "Topic" of the webinars and that the classes will take place at the specified meeting times of the webinars.*

Yes

Payment

Payment will be processed immediately upon submission of this form. Skyline School of Real Estate LLC never has access to your card information.

Type of Class*

Continuing Education (CE) ClassPlease select the number of CE classes that you are using this form to sign up for below:

$50.00 Quantity

Post Licensing ClassPlease select the number of CE classes that you are using this form to sign up for below:

$195.00 Quantity

Pre Licensing Class

$410.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Billing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Should be Empty:

Manual Registration Payment Form

Student Information

Agreements

Payment