Registration Form Name*: Mr. Ms. Mrs. Address*: Phone*: Fax: E-Mail*: Check Date & Times Below: All Classes $75 - 4 hours $125.00 - 8 hours Property & Casualty Pre-Licensing Education Course (Sheraton / Station Square) January 22 - March 11 , 2008 6:00 PM - 9:00 PM Life, Accident & Health Pre-Licensing Education Course (Sheraton / Station Square) February 4 - March 24 , 2008 6:00 PM - 9:00 PM Pittsburgh January 17, 2008 8:30 AM - 12:30 PM 1:00 PM - 5:00 PM Washington January 30, 2008 8:30 AM - 12:30 PM 1:00 PM - 5:00 PM Erie January 31, 2008 1:00 PM - 5:00 PM Pittsburgh February 21 , 2008 8:30 AM - 12:30 PM 1:00 PM - 5:00 PM Pittsburgh March 20 , 2008 8:30 AM - 12:30 PM 1:00 PM - 5:00 PM Pittsburgh April 17, 2008 8:30 AM - 12:30 PM 1:00 PM - 5:00 PM Cranberry April 23 , 2008 8:30 AM - 12:30 PM 1:00 PM - 5:00 PM Pittsburgh May 15, 2008 8:30 AM - 12:30 PM 1:00 PM - 5:00 PM Pittsburgh June 19 , 2008 8:30 AM - 12:30 PM 1:00 PM - 5:00 PM Amount: We CANNOT complete the registration until full payment is made. Once you hit "submit", print the following page, fill in and send to address given.  Thank you. Make all checks payable to: Pittsburgh Institute of Insurance. The Institute accepts personal checks, organization checks or billing authorizations, money orders, VISA, MASTER- CARD and DISCOVER. Full refund/credit for classes cancelled/transferred in writing 7 days prior to class date. Within 7 days of scheduled class date the following penalty fees will apply: $25 Cancellation/$10 Transfer. The Institute reserves the right to cancel a class if enrollment is not sufficient; all monies would be refunded.