Property and Casualty
PRE-LICENSING
Time: 8:00 a.m. til 6:00 p.m.
Tuition: $229.95
PLACE: 7505 Pines Rd. Ste. 1290
Shreveport LA 71129
NEW LIVE - 40 HRS REQUIRED
AUGUST
Thursday - Sunday
12 13 14 15
SEPTEMBER
Thursday - Sunday
16 17 18 19
LAFAYETTE
Classes available upon company or agency's request!
HAMMOND
Classes available upon company or agency's request
---------------------- Enrollment ------------------------------
Class Date (s) ________________________________
Date of Birth ________________________________
SS# _________________________________________
Fax # ________________________________________
Name: _______________________________________
First Name Full Middle Last Name
Phone # _______________________________________
Address: _______________________________________
(No P.O.) Street City Zip
Cell # __________________________________________
Email Address: ___________________________________
Agency Mgr's Name:_____________________________
Company: _____________________________________
Company's Address: ______________________________
Email Address: __________________________________
Ph # _____________________Fax #___________________
$______ Tuition enclosed (Make check payable
to STEGALL and mail to P O Box 8424,
Shreveport LA 71148). Refund policy: Written
notice of Cancellation within 48 hrs before class begins.
No phone calls or faxes accepted for cancellation.
An administrative fee of $25 charge for any cancellation,
NO REFUND AFTER CLASS BEGINS!! Thank you for your business.
1-800-462-1282 or 688-2942
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Cardmember'sName _______________________________
Cardmember'sZip Code (______________)Amt. $________
$10 Surcharge on Credit Cards
Cardmember's Signature _____________________________
Expiration Date ________/_________
Card Number _____________________________________
_Visa _ Mastercard _ Discover _ American Express
