Aurora Association of REALTORS® Express Registration Form

Complete and return to: 14201 E. Evans Dr., Aurora, CO 80014. Or fax to (303) 369-5524

Student Name: __________________________________________________

Company Name: ________________________________________________

Company Address: ______________________________________________

City/State/Zip: ___________________________________________________

Phone #: _________________________Fax #: ________________________

E-Mail: ________________________________________________________

Class Title(s) & Date(s):

__________________________________________________  ______________________

__________________________________________________  ______________________

__________________________________________________  ______________________

Tuition Amount: $__________ r Check r MasterCard r Visa

CC #: _________________________________________ Exp: _____ /_____

Real Estate License #/SSN: _____________________________
(This information required for C.E. credit to be issued.)

Board Affiliation: ___________________________________________________________________________

I hereby acknowledge that if I do not attend the entire class (arrive late or leave early), I will not receive continuing education credit. Payment for classes must be on file at least one week in advance to guarantee registration. No refunds for cancellations/no shows will be issued the day of class. I affirm that I have read and agree to abide by all terms set forth in this form, including but not limited to policies regarding Realtorâ status, attendance requirements, and cancellation/refund policy.

Signature of Student: ________________________________________________________________________

If you have disabilities that require special accommodations, including the provision of auxiliary aids and services,
please call (303) 369-5549. Copy this form for future use.