Contact us at wise.education@verizon.net © Wise Education, Inc. 2013-2015. All rights reserved.
WISE EDUCATION INC.
NJ, NY, & PA Continuing Education Specialists 1-800-577-9888
DOYLESTOWN
The Campbell Agency 236 Wells Road Doylestown, PA  18901 215-348-8661 Campbell Agencies Across road about 1/2 mile from Doylestown Twp Police Dept
Check desired classes:   __ 05/02/18    8:30am - 11:30am    CYBER LIABILITY INSURANCE 3 CEC     $59   __ 05/02/18    12:00pm - 5 :00pm    PERSONAL LINES ENDORSEMENTS 5 CEC    $79 __ 10/10/18    8:30am - 11:30am    DIRECTORS & OFFICERS LIABILITY 3 CEC     $59 __ 10/10/18    12:00pm - 5 :00pm    AGENCY ETHICS 5 CEC    $79
PA Locations
PA Locations
To register for multiple locations: Go to registration form    To register by mail or fax for this location ONLY, follow these steps: 1. Print this page. 2. Check desired classes. 3. Fill in required information and send to: Wise Education, Inc. 1501 Cobblestone Ct. Thorofare, NJ 08086 Fax: 856-384-8414   Tuition Total $________  # of   Credits______________   PAYMENT OPTIONS: ____Check #_________ Check amt. $__________   ____Visa    ____MC    ____Discover   Expiration Date _____/______(Required)   CC #_____________________________________    Cardholder Name____________________________                                              (Please print) Signature___________________________________    Comments:_________________________________   __________________________________________
FIRST_______________________MI____   LAST____________________________Jr / Sr / III   DATE OF BIRTH   _  _  / _  _ /  _  _   PA LIC REF # _  _   _  _   _  _  _ -IP   PA INS LIC EXP DATE  _  _  /  _  _  /  _  _   HOME PHONE  (  _  _  _  ) _  _  _  -  _  _  _  _   MOBILE PHONE  (  _  _  _  ) _  _  _  -  _  _  _  _   HOME ADDRESS__________________________   CITY/ST______________________ZIP_________   BUS FIRM________________________________   BUS PHONE  (  _  _  _  ) _  _  _  -  _  _  _  _   BUS FAX  (  _  _  _  ) _  _  _  -  _  _  _  _   BUS ADDRESS___________________________   CITY/ST______________________ZIP_________   E-MAIL___________________________________    Please make a copy of this form and mark your calendar. No CE confirmations mailed. PLEASE ATTACH MEMO AS TO ANY SPECIAL NEEDS