FloridaReal Estate Learning Center Registration Form
Call us for more details at 1-800-353-8849 or 1-407-340-3938
PLEASE PRINT THIS FORM AND COMPLETE IT. THEN DO ONE OF THE FOLLOWING:

1

2

3

Bring This Form
With You To Your
First Day Of Class

Mail FORM To:
1650 Sand Lake Road,
Suite # 107,
Orlando, Florida 32809

FAX
(Toll Free)
FORM To:
1-888-824-5060

Today's Date is:

 Class Schedule Selected:
   2 Week Day
(Sales Associate)
($ 299.00)		 4 Week Evening
(Sales Associate)
($ 299.00)		 Mortgage Broker
($ 249.00)
Real Estate Broker
($ 449.00)		   POST LICENSE
(Sales Associate)
($ 249.00)

Class Start Date: _______________ Class Finish Date: ____________

Name: _____________________ Phone Number: ( ___ ) ____-______

Address: ________________________________________

City: ___________________ State: _____ ZIP:__________

Social Security Number: _____________________


 Method Of Payment: Check   Cash

Tuition Charge:  $__________

OFFICE USE ONLY

Book Given:

YES / NO:
Payment Amount:  $ __________
Balance Due:  $ __________

Comments: ________________________________________________
I understand that by signing below, I am authorizing Florida Real Estate Learning Center, inc. to
process and receive payment for Registration fees and Tuition for real estate training purposes.
Schedule is subject to change without notice. I have read and understand the REFUND POLICY..

Student Signature: ___________________________________