API PACE Review Course Registration Form

To submit on-line, please fill in the following fields and click the “Continue to Payment Processing” button.
(VISA/MC/Amex accepted)

To submit via fax, print this form and send to (425) 771-9588

To submit via mail, print this form and send to:

23607 Highway 99, Suite 2-C
Edmonds, WA 98026

Please be advised the API PACE Review Course class size is limited to 15 and admission is on a first-paid basis.

First name:
Last name:
Contact phone number:
Contact e-mail:
Company name:
(required if address is not residential)
Street address, line 1:
Street address, line 2:
(if needed)
Postal code:
Registration type: First-time ($395)
Retake ($197.50)
Start date of course: November 11, 2013
January 13, 2014
February 17, 2014
March 17, 2014
April 21, 2014
June 2, 2014
July 14, 2014
August 18, 2014
September 15, 2014
October 20, 2014
November 17, 2014

modified 10/9/2013

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