Virginia AuctionAcademy

Po Box 1224, Prince George, VA 23875 * 804-931-4500 *

Training Class Held: 4112 (Suite F) Commerce Road, Prince George, Va. 23875

Name______

(First)(M.I.)(Last)

ADDRESS______CITY______

STATE______Zip ______E- MAIL ADDRESS______

How did you hear about Virginia Auction Academy? ______

I am eighteen years are older______(student Initials)

All students must be eighteen years of age before starting the class.

/ 2018 / March 3-10 * October 6-13
2019 / March 2-9 * October 5-12

Please check one option below and initial where indicated at the end of the paragraph:

_____ Enclosed is $ 980.00. Please send me the study guide and enroll me in the session beginning Saturday, ______,

______Year. I understand that this is the full tuition amount and I will not owe any balance upon entering Virginian Auction Academy. I understand that $80.00 of the fee is for the study guide and is not refundable once I received the study guide. If I decide not to attend the course for any reason, I am required to give written notice by letter or email to Virginia Auction Academy seven days before the class starts. ______(student’s initials)

____ Enclosed is $100.00, please send me the study guide and enroll me in the session beginning Saturday ______

______Year. I understand this is only an enrollment fee to reserve a spot in the session and the total tuition is $ 900.00. . I understand that $80.00 of the fee is for the study guide and is not refundable once I received the study guide. If I decide not to attend the course for any reason, I am required to give written notice by letter or email to Virginia Auction Academy seven days before the class starts. ______(student’s initials)

METHOD OF PAYMENT:______Visa$______MASTERCARD$______

(Check one & Write in Amt)______Check$______Money Order$______

Credit Card Number______EXP Date______CID Code*______

(3 digit code on back of card)

Name on Card______Signature______ZIP code associated with card______.

Payment can be received two different ways by printing this form out and completing the required information and scanning form and emailing it to . Are you can mail completed form to Virginia Auction Academy PO Box 1224 Prince George Va. 23875.

There must be a least Threestudent’s sign up for the course before we start any course. If there is less than three students sign up for course the student will be contacted and asked if they would like to enroll in the next course. If they wish not to attend the next class date all money sent in other than the fee from the study guide will be returned back to the student. Virginian Auction Academy will do it best to make sure we have enough students to start all class dates.