Registration - FI_Motorcycle

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Registration - Motorcycle F&I

CONTACT INFORMATION

Contact Person
Dealership Name
Address
City
State	Zip Code
Phone
Fax
E-mail
Attendees	1.
	2.
	3.
	4.
	5.
Experience	0-6 Mos. 6-12 Mos. 12+ Mos.

CLASS SELECTION

Motorcycle F&I ($1,995 per person)

PAYMENT INFORMATION

Number of attendees = Total amount due:
I prefer to pay by Credit Card* or Check** (see instructions below)
Name as it appears on the credit card
Billing Address for credit card
*If paying by credit card:	Once your form has been submitted, please call 877-651-1032 to provide the card number and expiration date.
**If paying by check:	Overnight your check along with a copy* of this form to: USPC General Accounting 21844 Network Place Chicago, IL 60673-1218 *Be sure to print the page before you click on the "Submit" button.
PAYMENT MUST BE RECEIVED PRIOR TO CLASS SCHEDULED TO CONFIRM YOUR SEAT IN CLASS. Cancellation and Refund Policy

Cancellation and Refund Policy