Broker Course Registration Form

Customs Broker Course Registration


		We use PayPal for all our courses. You will need a PayPal account. This takes only an extra step or two and you will then be able to use your credit card.

	Please provide the following information. Fields titled in red are required:

First Name
Last Name
Title
Company Name
Address

City
State/Province
Zip/Postal Code
Country
Work Phone
Fax
Email
I would like to purchase the Customs Broker Exam Preparation Course
I would like first to see a demo

Course Registration Options
I would like to register

Please read and accept the license agreement ()
I agree and accept the license agreement

	© 2005 Gonzalez Rolon Valdespino & Rodriguez, Attorneys. All Rights Reserved. Please see our disclaimer.

Thank you for registering for our customs broker exam preparation course. If you are interested in attending a Boot Camp, you must first mail a $100 check to EILI to hold your reservation.


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