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| IRS W7 FORM |
Address: ___________________________________________________________________________________
City: ___________________________________________ State: _______ Zip: _______________
CTEC # __________________________________ E-mail:____________________________________________
PTIN # _______________________________
( ) Lunes, Martes, Miercoles, Jueves
Start: Septiembre 30
End: Octubre 3
Hours: 6:00 pm - 9:00 pm
Fees:
Tuition and books: $ 250.00
Payment Method:
( ) Enclosed is $250.00 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:________________________
City: ___________________________________________ State: _______ Zip: _______________
CTEC # __________________________________ E-mail:____________________________________________
PTIN # _______________________________
( ) Lunes, Martes, Miercoles, Jueves
Start: Septiembre 30
End: Octubre 3
Hours: 6:00 pm - 9:00 pm
Fees:
Tuition and books: $ 250.00
Payment Method:
( ) Enclosed is $250.00 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:________________________
| 109 WEST TRANSIT ST. ONTARIO, CA 91762 PHONE (909) 986-8372 FAX (909) 986-8375 CELLULAR (909) 984-9383 WWW.MDPROSERVICE.COM COURSE No. K5Y6N-T-00001-12-I, IRS CONTINUING EDUCATION REGISTRATION FORM PLEASE READ BEFORE REGISTERING: IRS CONTINUING EDUCATION COURSE No. K5Y6N-T-00001-12-I, is an IRS-approved course which provides 10 hours of federal credit, 3 hours of Federal tax update credit and 2 hrs ethics credit towards the "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 NAME----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
