PERSONAL INFORMATION

* SSN is mandatory for Florida Insurance Courses, not necessary on taxes courses

TYPE OF INSURANCE AND TAX PRE-LICENSING COURSES

FLORIDA

FLORIDA Courses —Please choose an option—VIP 220220 + Exam SimulatorOnly Course 220Only VIP CRAMVIP 215215+Exam SimulatorOnly Course 215VIP 240240+Exam SimulatorOnly Course 240VIP 214214+Exam SimulatorOnly Course 214CLASSROOM Costumer Representative 440ONLINE Costumer Representative 440Curso Obamacare

TEXAS

PAYMENT INFORMATION

CASH OR ELECTRONICAL TRANSFER

DEBIT / CREDIT CARD PAYMENTS

You are required by state and federal law to disclose your social security number on this application. Section 666 (a) (13) of Title 42. United States Code, requires each state to obtain the social security number of each applicant for a professional or occupational license on the application for the license, Section 626.171 (6), Florida Statutes, implements this Federal Law. The purpose of collecting social security number is for administration of the child support enforcement provisions of the Title IV-D of the Social Security Act. the Department of Financial Services also uses social security numbers for identity verification purposes in conjunction with background checks of applicants and for identity verification purposes in the Department's electronic database for licensees and applicants. DISCLAIMER: Payment is required at the time of registration. Tuition is not refundable. I understand it is my responsibility to complete the above listed class/course and that may lack of attendance will result in forfeiture tuition. 75% of attendance is mandatory by the DFS. I understand the if o am disruptive in class I will be asked to leave and will forfeit my tuition. Class dates and prices are subject to change without notifications. You are required by state and federal law to disclose your social security number on this application. Section 666 (a) (13) of Title 42. United States Code, requires each state to obtain the social security number of each applicant for a professional or occupational license on the application for the license, Section 626.171 (6), Florida Statutes, implements this Federal Law. The purpose of collecting social security number is for administration of the child support enforcement provisions of the Title IV-D of the Social Security Act. The Department of Financial Services also uses social security numbers for identity verification purposes in conjunction with background checks of applicants and for identity verification purposes in the Department's electronic database for licensees and applicants. Return Policy: We do not refund tuition money; however, you may receive a full credit for that money to pass another Dolphy School course. However, with a few exceptions, the money will be returned, with a maximum of 60 days after enrollment, less $ 50 for administrative expenses. The money will not be refunded in cases where the student decided to attend the classroom, for at least 3 hours of content. Política de devolución: No hacemos rembolsos de dinero de matrículas, sin embargo, usted puede recibir un crédito completo por ese dinero para pasar otro curso de Dolphy School. No obstante, en contadas excepciones se devolvería el dinero, con un máximo de 60 días después de efectuada la matricula, menos $50 por gastos administrativos. No se devolverá el dinero en los casos que el estudiante decidió asistir al aula, al menos durante 3 horas de contenido. Que da estrictamente prohibido solicitar a otros alumnos del curso números de teléfonos, email, datos personales, con el único propósito de utilizarlos como negocios. Que da estrictamente prohibido repartir tarjetas de negocios, flyers, brochure o documentos con el marcado interés de establecer negocios en las instalaciones de Dolphy School. Queda estrictamente prohibido solicitar o o exponer sobre negocios ajenos a la institución, SIN CONTAR CON LA DEBIDA AUTORIZACION DE LA DIRECCION DE LA ESCUELA. DOLPHY SCHOOL SE RESERVA EL DERECHO DE ADMISION BASADO EN LAS NORMAS Y PROCEDIMIENTOS ESTABLECIDOS. EN CURSOS ONLINE: PARA PODER REACTIVAR SU CURSO. SI SU CURSO FINALIZA A LOS 6 MESES DEBE PAGAR $250, 9 MESES $350, 1 AÑO MATRÍCULA COMPLETA. TIENE 15 DÍAS POSTERIORES PARA HACER EL PAGO O DE LO CONTRARIO PASA A LA PRÓXIMA ESCALA. EJEMPLO SI SU CURSO FINALIZABA EL 1ERO DE FEBRERO, TIENE 15 DÍAS PARA REACTIVAR SU CURSO Y PAGAR $250. SI EL DIA 16 DE FEBRERO USTED DESEA REACTIVAR SU CURSO DEBE PAGAR $350 That it is strictly forbidden to request other students of the course telephone numbers, email, personal data, with the sole purpose of using them as businesses. That it is strictly forbidden to distribute business cards, flyers, brochures or documents with the marked interest of establishing business in the facilities of Dolphy School. It is strictly forbidden to request or expose about businesses outside the institution, WITHOUT THE DEBIDED AUTORIZATION OF THE ADDRESS OF THE SCHOOL. DOLPHY SCHOOL RESERVES THE RIGHT OF ADMISSION BASED ON THE STANDARDS AND PROCEDURES ESTABLISHED. IF YOUR COURSE FINISHES AT 6 MONTHS YOU MUST PAY $ 250, 9 MONTHS $ 350, 1 YEAR FULL ENROLLMENT. YOU HAVE 15 DAYS LATER TO MAKE PAYMENT OR OTHERWISE GO TO THE NEXT SCALE.

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