On-Line Class Registration Page

STUDENT INFORMATION

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Email Address: Date of Birth:
Home Address: City, State, Zip:
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EMPLOYER INFORMATION - (Optional)

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Address: City, State, Zip:
Phone: Fax:

CHOOSE YOUR COURSE:

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Date to Start:

PAYMENT INFORMATION

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CVV2 Code:

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Tuition Fees

 

Online Classes

Life: $350
Health: $350
Life & Health: $399
Property & Casualty: $499
   
Package Deals  
Life & Health & P&C $699


Enroll for Class Packages for
More Discounts!

 

Student Links

Check Your C.E. Credits
Enroll for the State Exam
Renew Your License
Contact the Dept. of Insurance
Forms & Documents

Corporate Information

Mailing Address
P.O. Box 579
Lakehurst, NJ 08733-9998
Phone: (732) 370 - 8111
Fax: (732) 370 - 8112

Atlantic School of Insurance

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