Insurance Institute of New Jersey
Approved by the NJDBOI #30157
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Insurance Institute of New Jersey
Bail Bond, Property & Casualty, Title, C.E. Credits

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Insurance Institute of New Jersey Enrollment Form

Please enroll on the form below. Once you submit you will be brought back to this page. Scroll to the bottom to pay in full. You will then be sent to a download page to get your copy of the book for your course so you can prepare for the classroom.

You must have at least made a deposit prior to enrolling or your form will be rejected. If you are applying for a payment plan send this form in and indicate payment plan application. Once approved you will be notified and required to make the first payment to enroll.

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Last Name:
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Address Street 2:
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Daytime Phone:
Cell Phone:
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Sponsor Company: if None type "none"
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Comments:

By Clicking Submit:
I understand I must arrive 15 minutes prior to the start of class.
Classes start at 9:00am end at 3:30 pm (for 2 days). If I miss any
class time I must make it up at a rate of $25.00 per hour.
Any unpaid tuition or make-up fees will prevent you from being i
ssued a Certificate of Completion (required to take the state exam).
If I do not attend I will not receive a refund. I may reschedule
with a $25.00 service charge. I understand if I do not pass the state exam
 I may attend the class again at no charge by scheduling a new time.
If I desire private tutoring in addition to the class, I may do so by
appointment at the rate of $25.00 per hour ($75.00 Minimum).
Any unpaid balance is subject to collection agency fees, court costs
and attorney fees. I have read, understand and agree to the above
 terms and all information I supplied is accurate.

 

 

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