Write the name of the classes your enrolling into _______________________________________________________________________________________________

Charge my Credit Card/Debit Card (Circle one) MasterCard, Visa, American Express, or Discover Card

#_______________________________________________________________Exp Date______________________

Broker Name:________________________________________Phone Number:_______________________________

E-mail Address_____________________________________________________________________________

Real Estate License :________________________________________________________________________
If more than one license, list all

License Type: _______   AB  ______    QB 

Enrollment Form

Enrollment Form for One Stop Real Estate Education Sponsored Classes Only

Refund Policy:  If you cancel a class, we will credit the cost of the class towards another class.  This must be used  within one year of the class being held. 

‚ÄčThree Easy Ways to Enroll:

1) By Phone: Call Julie M. Sheehan at 505-379-5736, to enroll using a credit or debit card

2) Complete the form below and Fax 505-349-3077

3) If paying by check complete the form below and  Mail to: One Stop Real Estate Education Services, PO Box 1073, Placitas, NM 87043