Notice: Online registrations are processed through a 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). Please call 866-357-0841 for tech support or registration assistance. Congratulations - You have chosen to register for an OLT Insurance Course brought to you by MW Group Education Services. It will take just a few minutes to complete the registration process. PLEASE COMPLETE ALL INFORMATION! 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 below. Please allow one business day for processing. Course Information: NOTE: You will be receiving your license for the state of South Carolina. How did you hear about us? Please Select ____________________ MWG Staff MWG Student MWG Student Referral Returning Student Search Engine Word of Mouth Other (Required) Select one or more courses by clicking in COURSE ID checkbox: (Required) PRICE COURSE ID COURSE TITLE $24.95 PE001 Life, Health, and Annuity Practice Exam $49.95 INS001 Life, Health, and Annuity PassPrep Course $150.00 INS003 Life, Health, and Annuity Pre-Licensing (Certificate) Course $125.00 INS010 Life Only Tutorial Course Student Information: (Name and Email required) Student Name: Email Address: Telephone No.: We accept the following methods of payment:

If you prefer to register by mail or fax... Please print this screen and mail it to us at: OnLine Training 2669 Forest Hill Blvd. Ste. 207 West Palm Beach, Fl 33406 or fax it to 561-357-4957 Write your payment information below:

Modified September 12, 2008, by Max Combs