Enrollment Form

​Course or class:          


(        ) 90- Hour SalespersonPre-licensing Course, three-weekend, accelerated;                             

           January 5, 6, 7; January 19, 20, 21; January 26, 27, 28; MLK Holiday Weekend, Jan. 12 - 14,             No Classes. $550.


(        ) 90-Hour Salesperson Pre-licensing Course, three-weekend, accelerated;

           February 16, 17, 18; February 23, 24, 25; March 2, 3, 4. $550.


(        ) 90-Hour Salesperson Pre-licensing Course, three-weekend, accelerated;

           April 13, 14, 15; April 20, 21, 22; April 27, 28, 29. $550.


​Date: ___________________________________


Name: _______________________________________________________________


Mailing Address:  _______________________________________________________


City, State, Zip: ________________________________________________________


Preferred Telephone Number: _(_____)_____________________________________


E-Mail Address: ______________________________________________________


To Enroll:  Download, print and complete this form and e-mail to kurt@azmountainliving.com; mail to Arizona Mountain School of Real Estate, 914 N. San Francisco St., Ste. A, Flagstaff, AZ 86001; or fax to (928) 774-3924. 


Payment: The course fee is $550. Payment may be made by check, money order, or major credit card any time prior to the start of class, including the day classes begin.  


Refunds: All paid fees will be fully refunded prior to the start of the first class. A one-half fee refund will be given after the close of the first weekend of pre-licensing classes. No refunds are offered after that point, but students may complete the balance of paid classes in future course offerings at no additional charge.


Optional: From what source did you learn about Arizona Mountain School of Real Estate?

_____ Referral from family, acquaintance, or real estate professional.

_____ Newspaper

_____ Radio

_____ Website

_____ Other, please specify: ____________________________________________________


Arizona Mountain School of Real Estate

914 N. San Francisco Street, Ste. A

Flagstaff, AZ 86001


(928) 814-8405

kurt@azmountainliving.com

www.azmtschoolofrealestate.com