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Retirement Class Mailer Order Form AE
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Class Administrator Contact Information
Enter the Class Administrator contact information. Prepare uses this information internally to communicate with the instructors office regarding class mailer coordination.
Class Administrator Name
*
First
Last
Business Name
*
Please enter your business name
Class Administrator Email
*
Class Administrator Phone
*
Prepare Class Information
Complete the information in this section that is specific to your class and mailer.
Instructor Name
*
First
Last
Prepare Instructor Office Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Enter the office address of the instructor. This address is used on the mailer for the Student Mail-In registrations.
Prepare Class Phone Number
*
I want to use the Call Center to process class RSVP's ( Additional Cost $200 )
I want to process calls using my dedicated Prepare Institute phone number for RSVP's
Prepare Institute Dedicated Class Phone Number
Enter the phone number you will be using to process RSVP calls from students. This phone number must be different from your office phone number and would be answered as The Prepare Institute.
College Information
Enter the name and address of the college where you will be hosting the class. Room numbers are not included in this form and should not be put on the mailer.
College Name
*
Campus or Building Name if Applicable
College Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
How many seats are in your classroom?
Class Dates and Times
Enter the dates and start and end times for your classes. The mailer includes 2 sets of 2 days.
Class Set 1
Class Set 1 - Day 1 Date
*
Class Set 1 - Day 2 Date
*
Class Set 1 - Start Times
*
Class Set 1 - End Times
*
Class Set 2
Class Set 2 - Day 1 Date
*
Class Set 2 - Day 2 Date
*
Class Set 2 - Start Time
*
Class Set 2 - End Time
*
Additional Information
Enter any additional information regarding the class.
Website
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