Preferred Systems, Inc.
1341 West 6th Street
Erie, PA 16505

Phone: (814) 456 - 0406  - Toll Free (888) 455 - 7437  - Fax: (814) 455 - 7026

Registration Form

Cost per course is $100.00 for NBCC, CAC, NCPG & Act 48,
Psychologist, $130.00  - Social Workers $120.00
(One credit fee for multiple CE Credits requested)

Mail registration from to Preferred System, Inc., 1341 West 6th Street, Erie, PA 16505 or fax to (814) 455 - 7026

Class Times are 8:00am - 5:00pm

Name: _________________________________________________________________________

Company: ______________________________________________________________________

Address: _______________________________________________________________________

City: ____________________________ State: ______________ Zip Code: _________________

Phone: _________________________________ Fax: _____________________________

Class: __________________________________________ Date: _________________________

Location: _______________________________________________________________________

Payment Method: Check, Number _____________________  Master Card   Visa

Card Number: ___________   _____________  ____________  ____________

Expiration Date: _________   _________

 

     Requesting credits for (Check all that apply)

     National Council for Problem Gamling          CAC         Psychology   

     NBCC              Social Work           PA Act 48
 

 Preferred Systems, Inc. Refund Policy

A written request for a refund must be received by Preferred Systems 2 weeks prior to the start of the class.  All refunds are subject to a non-refundable administrative fee. $10 fee for CE courses.
There is no refund if canceling two weeks prior to the scheduled date of the class.

  If you should have any further questions, please contact Preferred Systems, at:1-888-455-7437
                                                                  
      
 

Preferred Systems, Inc.
Frontier Place 1341 West 6th Street
Erie, PA 16505

Ph (814) 456 - 0406  Fax: 814 455 - 7026
Toll Free (888) 455 - 7437