Retirement Class Mailer Order Form AE

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

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

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.