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Enrollment Form
L&R TAX TRAINING SCHOOL
109 WEST TRANSIT ST. ONTARIO, CA 91762
PHONE (909)  986-8372 FAX (909) 986-8375 CELLULAR (909) 908-4978
WWW.MDPROSERVICE.COM

COURSE No. 3016-CE-0002             

RENEWAL INCOME TAX COURSE
REGISTRATION FORM

PLEASE READ BEFORE REGISTERING:
Advanced Income Tax Course No. 3016-CE-0002, is a CTEC-approved course which provides 15 hours
of federal credit and 5 hours of state credit towards the annual “Continuing education” requirement for
tax preparers. A listing of additional requirements to register as a tax preparer may be obtained by
contacting CTEC at P.O. Box 2890, Sacramento, CA 95812-2890, toll-free by phone at (877) 850-2832, or
on the Internet at:  www.ctec.org
Name: _____________________________________________________ Phone: __________________________
Address: ____________________________________________________________________________________
City: _____________________________________________ State: _______________ Zip: _________________
CTEC # __________________________________

Please choose classes on weekdays or Saturdays.

(  )  Tuesday and Thursday.
Classes Start:         Tuesday August 05, 2008
Classes End:        Tuesday September 04, 2008
Class’s hours:      Tuesday and Thursday: 7:00 PM-9:00 PM
             
(  ) Saturday
Classes start:        Saturday September 20, 2008
Classes End:         Saturday October11, 2008
Class’s hours:       Saturdays 9:00 AM-12:00M
                          Lunch      12:00 M- 1:00 PM
                                           1:00 PM-4:00 PM        
Fees:
Tuition and books: $ 150.00

Payment Method:

( ) Enclosed is $ 150.00 as full payment.

Enrollment Terms:

The courses offered are subject to cancellation or rescheduling in the event of insufficient enrollment. Completion of
courses does not guarantee employment, nor are students required to work for School. If for any reason the
students are not satisfied, he/she may withdraw prior to completing 10% of the course and receive a full refund
(Total payment fees minus books and materials)
Registration, books and material fees are not refundable after the first class session unless the class is cancelled, in
which case, upon return of any issued books in reusable condition, all fees will be refunded in full.
I have read and understand cancellation and refund policy as stated above. Please enroll me in the Income Tax
Course I have specified. I understand this agreement becomes legally binding instrument upon school’s written
acceptance of my application for admission.


Signature:____________________________________________ Date:________________________