LEE & GRANT COMPANY
4333 Dunwoody Park, Suite 1412
Atlanta, Georgia 30338
Tel: 1-800-LEE-GRAN

ON-LINE COURSE REGISTRATION FORM

Date: ______________________________________________________

Name of student: ______________________________________________________

Mailing address: ______________________________________________________

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Telephone number: ______________________________________________________

Fax number: ______________________________________________________

E-mail address: ______________________________________________________

Appraiser license #: ______________________________________________________

Enroll me for the following course(s):
(Please include the number of credit hours for each course.)

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Do you want the textbooks mailed to you? __________Yes ___________No

Enclosed is payment of: $________________ for the courses. Either a business or personal check is fine. Sorry, we don’t take credit cards. Please mail this form along with your payment to the address at the top of this page.

Lee & Grant Company Copyrights 2002. All rights reserved