Application

MIDDLETON REAL ESTATE TRAINING, INC.

6-Hour Real Estate Continuing Education

Course 2023 Midd- Dee (This is for anyone that missed a 2023 CE course)

Tuition Pre-Paid: $60.00 - Tuition Walk-In: $70.00

PLEASE REMIT TO:

MIDDLETON REAL ESTATE TRAINING INC

901 Tower Dr. Suite #120

Troy, MI 48098

PHONE:(248) 885-8311 FAX: (248) 885-8435

NAME

ADDRESS

CITY STATE ZIP

HOME PHONE ( ) WORK PHONE ( )

Email:

PERMANENT I.D.#650

CLASS DATE

VISA/MASTER CARD

EXPIRATION DATE

SIGNATURE

$25.00 SERVICE FEE FOR RETURNED CHECKS * MUST CANCEL PRIOR TO CLASS DATE FOR REFUND

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