IMPRIMA LA HOJA DE INSCRIPCION Y MANDELA POR FAX AL (888) 586-1987

CTEC CONTINUING EDUCATION

COURSE No. 3016-CE-0002             
ADVANCED INCOME TAX COURSE
REGISTRATION FORM

PLEASE READ BEFORE REGISTERING:
Advanced Income Tax Course No. 3016-CE-0002, is a CTEC-approved course which provides 15 hours of federal
credit and 5 hours of California credit towards the "continuing education" requirement for tax preparers. A listing
of additional requirements to register as a tax preparer may be obtained by contacting CTEC at P.O. Box 2890,
Sacramento, CA 95812-2890, toll-free by to register as a tax preparer may be obtained by contacting CTEC at
P.O. Box 2890, Sacramento, CA 95812-2890, toll-free by phone at (877) 850-2832, or on the Internet at
www.ctec.org.
NAME/NOMBRE:____________________________________________ PHONE/TELEFONO:____________________
ADDRESS/DIRECCION:___________________________________________________________________________
CITY/CIUDAD:___________________________ STATE/ESTADO:_________ ZIP/CODIGO POSTAL:____________
CTEC#:___________________________ EMAIL:_______________________________________________________
PTIN#:___________________________
CLASSES WILL BE HELD AT THE FOLLOWING ADDRESS:
109 W TRANSIT ST. ONTARIO, CA 91762 (AL SUR DE HOLT BLVD, ESQUINA CON EUCLID AVE)
POR FAVOR MARQUE LA CLASE QUE DESEA TOMAR:












                                                                               
 FEES:TUITION AND BOOKS: $200.00
ENROLLMENT TERMS:

THE COURSES OFFERED ARE SUBJECT TO CANCELLATION OR RESCHEDULING IN THE EVENT OF INSUFFICIENT ENROLLMENT.  IF FOR
ANY REASON THE STUDENTS ARE NOT SATISFIED, HE/SHE MAY WITHDRAW PRIOR TO COMPLETING 10% OF THE COURSE AND
RECEIVE A FULL REFUND (TOTAL PAYMENT FEES MINUS BOOKS AND MATERIALS). REGISTRATION, BOOKS AND MATERIAL FEES
ARE NOT REFUNDABLE AFTER THE FIRST CLASS SESSION UNLESS THE CLASS IS CANCELLED, IN WHICH CASE, UPON RETURN OF ANY
ISSUED BOOKS IN REUSABLE CONDITION, ALL FEES WILL BE REFUNDED IN FULL.

I HAVE READ AND UNDERSTAND CANCELLATION AND REFUND POLICY AS STATED ABOVE. PLEASE ENROLL ME IN THE INCOME TAX
COURSE I HAVE SPECIFIED, I UNDERSTAND THIS AGREEMENT BECOMES LEGALLY BINDING UPON SCHOOL'S WRITTEN ACCEPTANCE
OF MY APPLICATION FOR ADMISSION.




SIGNATURE:______________________________________________ DATE:________________________
IMPRIMA LA HOJA DE INSCRIPCION Y MANDELA POR FAX AL (888) 586-1987
[  ] MON, WED, FRI
START: SEPTEMBER 6, 2017
END: SEPTEMBER 18, 2017
HOURS: 6:00 PM - 9:00 PM
[  ] SATURDAY
START: SEPTEMBER 2, 2017
END: SEPTEMBER 16, 2017
HOURS: 9:00 AM - 4:00 PM
(LUNCH 12:00 PM - 1:00 PM)

[  ] SATURDAY
START: SEPTEMBER 23, 2017
END: OCTOBER 07,        2017
HOURS: 9:00 AM - 4:00 PM
(LUNCH 12:00 PM - 1:00 PM)