Manual, Flash Card Order Form

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Secure Email Order Form for Manuals, Flash Cards and Online Programs

This form can only be used if paying via credit card
All Prices include taxes, shipping and handling.

Warning: This form only works with Internet Explorer (IE)

Sold To:		Shipped To:
		Company:
Name:		Name:
Address:		Address:
City:		City:
State:	Zip:	State:	Zip:
Daytime Phone:		Daytime Phone:
Fax Number:		Fax Number:

Select Manuals, Flash Cards and/or Online Programs:
Software is non-refundable once the seal is broken
(For Each Item, Enter Number Ordered)

	*FL General Line CSR Study Manual @ $45.00 each*
	*FL Adjuster Study Manual @ $45.00 each*
	*FL Life Health VA Study Manual @ $45.00 each*
	*Life Health VA Exam Simulator Online @ $50.00 each*
	FL General Lines Flash Cards @ $40.00 each
	*Life Health VA Flash Cards @ $30.00 each*
	Personal Lines Flash Cards @ $30.00 each
	*Series 6-63 Workbook & On-Line Program @ $100.00 each*
	*General Lines Exam Simulator Online Program @ $75.00 each*
	*Personal Lines Exam Simulator Online Program @ $65.00 each*
	*Adjuster* *Exam Simulator Online Program @ $75.00 each*

Choose Credit Card: Total Amount of Order:

Credit Card No.: ---

CC Expiration Date: Month Year Credit Card ID Code:

Name on Account:

Email Address:

"If it doesn't say 'Andy Beverly' it isn't The Florida Insurance School."

You cannot register for class at the Tampa office. There are no Books, or Flash Cards available for purchase at the Tampa office. Registration for class and purchase of books, etc. MUST be done through the Tallahassee office or from this website.

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