PLEASE PRINT THIS FORM AND MAIL TO THE ADDRESS LISTED BELOW:

Reppert School of Auctioneering, Inc.
P.O. Box 6
Auburn, IN 46706


Given Name


Name for Nametag


Street Address


City

    
ST         ZipCode                      Class Date

  
Work Phone                               Home Phone                     

   
Fax Number                                  Occupation


Email Address


Please check the box corresponding to your method of payment:

Enclosed is my payment of $1095
Check    Money Order    Visa    MasterCard


Cardholder's Name

  
Account Number              Expiration Date:


Signature

Enclosed is my non-refundable $50 deposit to receive the Pre-Study Course.
Balance due at the beginning of class.

I will pay $1095 between now and the beginning of class.

  
Today's Date          Signature