Polley Associates, Pennsylvania Real Estate School

Real Estate License, Broker Education and Online Real Estate Courses, Appraisal Certification and Home Inspection Courses in PA, NJ and DE.

Thanks for Choosing Polley!

East Pre-License Print & Fax Form

Use our Print & Fax Form Below

Click here for our online e-Form

Call us to enroll over the telephone

Talk about easy! Simply print this form to your printer, fill it out, and fax it back TOLL FREE to Polley Associates at 1- (888) 941-9500 or direct 610-353-6776 to enroll in any of our PreLicense courses.

Please print the following about yourself:

Last Name

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First Name

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M.I.

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Home Address

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City

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State

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Zip

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Home Phone

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Office Phone

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Fax
Phone

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E-mail Address

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Please print the following about
the Pre-License Course(s) you want:

Our best deal!

|__| Career Start Package, $495

A real bargain ... far less than the combined cost of Practice, Fundamentals and Exam Prep

RE Practice. Start Date _____________ AM |__| PM |__| Wknd |__|
Location ________________________________________________

RE Fundamentals. Start Date _____________ AM |__| PM |__| Wknd |__|
Location ________________________________________________

Sales Exam Prep. Start Date _____________ (Sat., 9 a.m. - 4 p.m.)
Location ________________________________________________

Best Start. Month Desired Jan |__| Apr |__| Jul |__| Oct |__| Year ___
Location ________________________________________________

Includes required textbook, "Real Estate, An Introduction to the Profession, 8th Edition"

Use this only if not ordering Career Start

|__| Practice or Fundamentals Courses only, $195 each

RE Practice. Start Date _____________ AM |__| PM |__| Wknd |__|
Location ________________________________________________

RE Fundamentals. Start Date _____________ AM |__| PM |__| Wknd |__|
Location ________________________________________________

|__| Required Textbook, $30
"Real Estate, An Introduction to the Profession, 8th Edition"
IMPORTANT! This book must be purchased to take either Practice or Fundamentals.

Use this only if not ordering Career Start

|__| Sales Exam Prep Course only, $90

Sales Exam Prep. Start Date _____________ (Sat., 9 a.m. - 4 p.m.)
Location ________________________________________________

Use this only if not ordering Career Start

|__| Best Start Course only, $100

Best Start. Month Desired Jan |__| Apr |__| Jul |__| Oct |__| Year ___
Location ________________________________________________

Please indicate payment preference:

Amount Due

$ |__|__|__| . |__|__|

Pay By ...
(Check One)

|__| Check (Must accompany form; accepted by mail only)

|__| Visa

|__| MasterCard

|__| Discover Card

|__| American Express

Card Number

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Expires

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Signature

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Please let us know ...

Have you taken a course with Polley before?

Yes |__| No |__|

How did you hear about this course?

Website |__| Flyer |__| Advertising |__| Radio |__|

Television |__| Newspaper or magazine article |__|

Course catalog |__| Referral from a colleague |__|

Referral from a broker |__| Other ______________________

Other information:

Enrollments limited. All registrations on a first paid, first confirmed basis. No registrations accepted, nor any place reserved in a course, until full payment and information are received. Polley Associates may cancel classes due to low enrollment or unforeseen circumstances. If this should occur, all fees will be refunded. If a student voluntarily withdraws from a class at any time, no refund will be given. Instead, the tuition paid can be credited toward fees for a future Polley Associates' course, which must be completed within six months of the originally scheduled course. There is a $15 charge for returned checks. All policies subject to change without notice. Other enrollment and refund limitations or exceptions may apply.

If you have special needs due to a handicap or disability, Polley Associates can help! Please let us know.

Here are your options for this form, once it's completed. Please print (do not write) all information for readability. 1) Fax it toll-free to Polley Associates at (888) 941-9500; or 2) Mail it to Polley Associates, 3544 West Chester Pike, Suite 200, Newtown Square, PA, 19073; or 3) Talk to someone in person by calling Polley Associates at (610) 353-6776 or toll-free at 1-(800) 220-2789.