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Registration Form for
CPCU 510 Test Preparation Workshop

MEETINGS: Tuesdays 5pm-7pm, Nov 10, 2009 to Feb 17, 2010
LOCATION: State Farm Insurance
900 Old River Road, Rm. C148
Bakersfield, CA 93311

COST: $150

Date of Birth : / /

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Preferred Mailing Address:  

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CPCU Foundation Courses Passed:
CPCU Concentration:
CPCU Concentration Courses Passed:

Are you interested in applying CPCU courses toward CSUB's MBA degree?

Please submit this form to register and receive payment information.