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Name: ___________________________________________________ Telephone: _________________________
Address: ___________________________________________________________________________________
City: ___________________________________________ State: _______ Zip: _______________
CTEC # __________________________________ E-mail:____________________________________________
PTIN # ______________________
CLASSES WILL BE HELD AT THE FOLLOWING ADDRESS:
109 W TRANSIT ST, ONTARIO, CA 91762, AL SUR DE HOLT BLVD, ESQUINA CON EUCLID AVE
Por favor marque la clase que desea tomar: En Sabado o Martes y Jueves.
Imprima la hoja de inscripcion y mandela for fax al (888) 586-1987
( ) Saturday ( ) Tuesday and Thursday
Start: August 15, 2015 Start: Sept 15, 2015 (Tuesday)
End: August 29, 2015 End: October 01, 2015 (Thursday)
Hours: 9:00 AM - 4:00 PM Hours: 6:00 pm-9:00 pm
(Lunch 12:00 M - 1:00 PM)
Fees:
Tuition and books: $ 195.00,
Payment Method:
( ) Enclosed is $195.00 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) 460-1873 FAX (888)586-1987
WWW.MDPROSERVICE.COM
COURSE No. 3016-CE-0002 ADVANCED INCOME TAX COURSE
REGISTRATION FORM
PLEASE READ BEFORE REGISTERING:
Advanced Income Tax Course No. 3016-CE-0002, is a CTEC-approved course which provides 10 hours of Federal tax law, 3 hours Federal tax
update, 2 hours Ethics and 5 hours of state 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 2890, Sacramento, CA 95812-2890, toll-free by phone at
(877) 850-2832, or on the Internet at www.ctec.org.
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