Registration Form


Mail to: Education Department, WCBR, 59 South Broadway, White Plains, NY 10601 Fax to: 914-681-6044	Driving Directions Cancellation Policy
You may complete this form online and then print it out or print it out blank and then complete it by hand.

Registration Form
Registration Info \| Parking \| Location \| Cancellations \| Continuing Education Info

Please check one:

Dues-Paying WCBR Member

Non-Member

Name:
Firm:

Please check one:

Home

Business

Address:
City, State & Zip:

Phone:

Fax:

Bus. Phone:

Real Estate License #:

Course Title:
	Date(s):	Time:	Cost:

Course Title:
	Date(s):	Time:	Cost:

Course Title:
	Date(s):	Time:	Cost:

Amount enclosed or authorized: (please do not staple check)

Visa

MasterCard

American Express

or Check Enclosed

Credit Card #:

Expiration Date:

Signature: _______________________________________________________

Do you have any disabilities which require special accommodation, including auxiliary aids/services? If so, please tell us your needs below:

Registration Info
•	Registrations must be mailed, faxed or delivered in person. Phone reservations WILL NOT be accepted.
•	*Tuition must accompany registration form.* Payments returned for insufficient funds will be subject to bank fees and a $25 processing fee.
•	Incomplete registrations will be returned unprocessed.

Parking
Vouchered parking is available for MEMBERS ONLY for day classes only at the Westchester Pavilion across the street (Borders). Bring your ticket to class for a FREE parking voucher covering the time you are in class. There is NO parking in the back of our building.

Location
All classes will be held at WCBR unless otherwise noted. Be sure to review and print out the Driving Directions ahead of time.

Refunds & Cancellations
Please review our Cancellation Policy before you register.

License Renewal & Continuing Education Info
Each licensee has an individual renewal date which is renewed every two years. All licensees, with few exceptions, must show 22½ hours* of approved continuing education credit as a condition of renewal. You cannot renew your license without the required continuing education credits. If your license expires before you can complete the continuing education requirements, you won’t lose your license. It will simply be suspended until the course requirements are met. If your license has expired for more than two years, you will have to take the State exam again, but you will not have to retake the pre-licensing course(s) in order to renew your license. Continuing Education Credit: Classes will begin on time -- 90% attendance required for credit. NO EXCEPTIONS. *Those exempt from the continuing education requirement are: attorneys; those licensed for 15 years or more and are brokers or broker associates at the time of renewal.