Student/Attendee Registration Form
Phone Number (Cell)
Alternate Phone Number (Home, Work or Other)
Last 4 digits of social
This will be your examination and certification password
Would you like us, CER Inc., to also complete your license renewal and send you a copy of your renewed license?
We process and upload everything to the state on your behalf. The $85 renewal fee for license renewal will be included in your invoice. (Please note effective 1-1-2016 the Alabama Department of Insurance license renewal fee increased by $30.00.)
Yes, please complete it for me so I don't have to worry about it!
NO, I will try and find the time to complete it before the expiration date and the $50 late fee.
CE Course Selection and Payment - (Please return to the open
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