Notary Public Central

To pay by Visa, Master Card, Discover or American Express submit form below:

To register by phone call 516-797-0022

To register by mail or fax (See Below)

Company:

Students Name(s)

Select Course Date:

Card Type:    This system does not accept Debit Cards

Credit Card Number:    ---

Expiration Date: (mm/yr ex: 04/07)

Card Verification Number: (Last 3 digits on back of card or 4 digits if Amex Card)

Cardholder: (If other than self)

Pay By Check Option (REQUIRES A $20 SEATING DEPOSIT) via Credit Card. Please enter information above. This deposit will be deducted from your tuition.

Number of Attendees Amount: ($129/person) -5% Discount for Multiple Enrollments

Street:

City:    State: Zip:

Daytime Phone: * Cell: Fax:

E-Mail: *

How did you hear about us?

Comments:

Terms and Conditions: Registration is fully transferable between seminars and students. Transfers are good for up to one year from original date of registration. Cancellations requested within 24 hours prior to seminar receive a full refund. Cancellation requested after that time will be charged 75% of original seminar registration. Cancellations must be done in writing via e-mail.

To register by mail or fax click print & fax