American Republic Insurance in Partnership with Edison State College - Collier Campus

 

Online Registration Form
(866) 357-0841

We Gladly Accept...
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Notice: This online registration for Edison State College (Collier County) is processed through OnLine Training's secure server at CyberSource. Your student information is entered on this screen. On the next screen you may review your order. Following that, you may enter your Credit Card information and complete the transaction (within the secure server).

Course Information
Select one or more courses by clicking the checkbox: (Required)
Continuing Education
$84.00 INSCE001 14hr CE Life
$84.00 INSCE002 14hr CE Health
$24.00 INSCE004 3hr CE Ethics
$24.00 INSCE005 3hr CE Health Savings Accts
$24.00 INSCE009 3hr CE Ethics and the Client
$24.00 INSCE014 3hr CE Senior Suitability

Student Information
(bold entries are required)
Student's Full Name: (Required)
E-mail Address: (Required)
Social Security Number: (Required)
Date of Birth (mo/day/yr): (Required)
Contact Phone, with Area Code: (Required)
Alternate Phone, with Area Code:

After we receive your registration and process the charge, we will send the login and password information for each course registered to the student e-mail address above. Please allow one business day for processing.

Refund Policy

• Withdrawal prior to the start of the first class: full refund.
• Withdrawal after the first session: no refund.
• Non-attendance does not constitute a refund request.

Last Updated: September 22, 2010 by Melody Schiesl