University of Southern Maine

Center for Real Estate Education
Registration Form:

Click here for a printable PDF of the registration form

1. Call (207) 228-8400 or 1-800-800-4876 with Mastercard/Visa or Discover;
2. FAX (207)228-8401 this registration form with Mastercard/Visa or Discover;
3. Print this form using your print button and mail form to CREE, 68 High Street, Portland, ME 04101 with a check, payable to USM; or
4. Come to the Center's office at 68 High Street, Portland, ME

   NAME:__________________________________________________________________
   
   ADDRESS:_______________________________________________________________
   
   CITY/STATE/ZIP:_________________________________________________________
   
   DAY PHONE: _____________________________FAX #: _________________________   	
   
   APPRAISAL LICENSE#: ___________________	R.E. LICENSE:____________________
   
   SS# (Last 4 digits):________________________    EMAIL:___________________________________

   Computer courses only: Year you were born ___________________________________
   
   MC/VISA/DISCOVER: ______________________________________________________ 	

   EXP. DATE:______________                      3 DIGIT SECURITY CODE______________ 

   SIGNATURE: _____________________________________________________________

   CLASSROOM REGISTRATION:
   COURSE TITLE	LOCATION	DATE	AMOUNT
   CORRESPONDENCE/VIDEO COURSES: No shipping charge for Internet courses.
   COURSE TITLE			AMOUNT
   Shipping/Handling charges for Home Study Courses: 1 course = $3.00, 2 courses = $5.00, 3 or more = $8.00 Sales Agent Correspondence Course $8
   Priority Mail add $2.00
   TOTAL ENCLOSED