1221-DECEMBER 2021 CE ZOOM ENROLLMENT FORM

ZOOM CLASS ENROLLMENT FORM

NOTE: If you need to utilize more than one class date, please call our office at (801) 782-5510 to enroll.

*Required Feild

Attendee's Name (as known by the Ins. Dept.)*

First NameLast Name

Insurance License Number*

Physical Address*

Street Address

Street Address Line 2

CityState

Zip Code

Contact Number*

Comments/Instructions

E-mail*

ZOOM Class Schedule

DECEMBER 10, 2024 (Tuesday)

8:00a - 12:00p Life Insurance Concepts for Business Use

12:30p - 4:30p Business Uses of Life Insurance

4:30a - 8:30p Using Ethical Standards In Your Agency- (Ethics - 2024 Update)

Enrollment in 24 Credit Hours includes the above 12 hours of class plus 12 hrs homestudy course.

Enrollment Options - DECEMBER 2024 (choose only one)*

24 Credit Hrs (Insurance and/or Funeral Director)$135.00

LICENSE(S) TYPE OPTIONS
Item subtotal:$0.00

12 Credit Hrs (Insurance and/or Funeral Director)$115.00

LICENSE(S) TYPE OPTIONS
Item subtotal:$0.00

8 Credit Hours (Ins License ONLY)$89.00

CLASS OPTIONS
Item subtotal:$0.00

4 Credit Hours (Ins License ONLY)$49.00

CLASS OPTIONS
Item subtotal:$0.00

Subtotal $0.00Shipping $0.00Total $0.00