Tulsa School of Real Estate

Post-License Distance Learning Course Registration Form
All information is required unless otherwise noted.
Name ________________________________________ Date ___________________

OREC License Number _________________________________________ (REQUIRED)

Mailing address ________________________________________________________

City/State _______________________________ Zip _________________________

Day telephone _________________________ Evening ________________________

Cell _____________________________ Fax ________________________________

Email ________________________________________________________________

How did you hear about us?

Sales Representative (name) _________________________________________,

internet search, OREC, other _________________________________________

PLEASE NOTE:
If you have been convicted of any crime, or if charges are pending, or if you have unpaid child support or unpaid student loans or delinquent state income taxes, please check with the Oklahoma Real Estate Commission before enrolling in any courses.

You may require pre-approval before obtaining your license.

AGREEMENT:

I, ___________________________________ (please print your name) hereby enroll in the distance learning post license real estate education course of 45 credit hours at TULSA SCHOOL OF REAL ESTATE. I agree to pay tuition of $185.00 plus shipping and handling. I agree to pay an administrative fee of $25.00 for returned checks. No refunds will be available for tuition after 3 business days from the date of my enrollment. I understand I must return the book at my cost prior to receiving a refund.
Further, I understand that my enrollment is only valid for 6 months from the date on this registration form. If I have not completed the course and the post-license test within 6 months of my enrollment I will have to re-enroll, and pay for the course again.
I have read the agreement and certify I am the above named person.

Signature ____________________________________
Date __________________________

Shipping & Handling:

Please circle your selection below. Your materials will be sent within 24 hours of receipt of this form and payment.

2 business days - $20.00

Ground (5 days) - no charge

Credit Card Information

Check one: __  __  __  __ 

PLEASE PRINT Name exactly as shown on credit card,

______________________________________________________________________

Credit card number:

______________________________________________________________________

Exp Date: _____ /_____

Billing address if different from mailing address.

Billing address ________________________________________________________

City/State _______________________________ Zip _________________________

I authorize Tulsa School Of Real Estate to charge my credit card account in the amount of $_______ for the products listed above.

Signature: _________________________________________ Date: ______________

Please remit this form with payment to TSORE:
PO BOX 35344, Tulsa, OK 74135 OR Fax to 800-517-0978