15 Hr State Tax Class

$149.99 15 hour State Part

We Accept

To mail payment print and mail this form. Otherwise click on the visa/mc options.

REGISTRATION FORM:

Student Name					Date:
Address
City		St		Zip
Phone #s: Work			Fax #
Home			Last 6 digits of SSN
E-Mail			Referred by:

	If mailing payment print this form /
	SEND WITH PAYMENT to: Anthony Heras 1316 Wilshire Blvd Los Angeles, CA 90017

Then proceed with the following:

15 Hours of the Basic Qualifying Course

15 Hr State Tax Class