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 - 40 HRS REQUIRED
MARCH
Thursday - Sunday
18 19 21 22
APRIL
Thursday - Sunday
15 16 17 18
MAY
Thursday - Sunday
20 21 22 23
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
-----------------------------------------------------------------------------
Cardmember's Name _______________________________
Cardmember's Zip Code (______________)Amt. $________
$10 Surcharge on Credit Cards
Cardmember's Signature _____________________________
Expiration Date ________/_________
Card Number _____________________________________
_Visa _ Mastercard _ Discover _ American Express