Regal School of Real Estate

Classroom at Sea Printable Registration Form
FAX TO: (863) 869-8600
14 Hour Continuing Education



Student Name_________________________________________________D.O.B._________________

Guest Name (if any)________________________________________D.O.B._______________

Street Address_________________________________________________________________

City_________________________________  State__________  Zip_____________________

Home Phone___________________________  Work Phone____________________________

Student SS#___________________________  Cruise Dates____________________________

RE License Number    SP / BK ____________________  Renewal Date___________________
                                 
(circle one)
   

All Cabins are outside cabins at $500 per person double occupancy.


Note: Prices include cruise, course fee, course materials, taxes and government fees. Pre-paid gratuities and optional insurance not included. 

METHOD OF PAYMENT
(check one)   Cash    Check    Money Order    Paypal

Once your registration form is received, we will contact you to arrange payment of your deposit.


TOTAL AMOUNT $_______________

  I am paying for two people
  I would like to add $59 per person for the optional insurance
  I would like to add $50 per person for pre-paid gratuities

ROOM INFORMATION

  I plan to bring my own roommate named above as "guest"
  I plan to room with a licensee who will register separately
    Name_______________________________________
  I will need help finding a roommate


IMPORTANT NOTICE

-The cruise line requires you to use your legal name and correct birth date when registering.
-Effective Jan, 2007 ALL PASSENGERS must bring a valid passport to board the ship.