CECLASS

Welcome to Affordable Educators

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First Name

Middle Name

Last Name

Company

Address

Use same address shown on your insurance license. Do not use the pound sign (#).

City

State

Zip

Phone x - for extension

e.g. (555-555-5555)

CA Insurance Lic #

May begin with ZERO, not the letter "O". Any letters in the license should be capitalized — example: 0E12345.
(Lic # required for California CE credit.)

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