Prelicense Course Registration – Mississippi IADA

Congratulations on taking the first step towards your future as a successful dealer! Please register below. You may pay securely online or, if you choose not to pay online, an association representative will reach out about payment.

Prelicense Course

Name of Person Taking Course*
First Last
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Phone
Email Address*
Enter Email Confirm Email
Potential Business Name if Known
Date*
MM slash DD slash YYYY
Prelicense Course - Online Payment
- Yes, sign me up for the prelicense course and I will pay online. $395.00
Prelicense Course - Mail Check or Call Office
- Yes, I wish to register for the Prelicense Course and will mail in my $395 or call the office.
BILLING Address - Must match card.
Street Address Address Line 2 City State ZIP Code
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Total
$0.00
Agreement Terms and Refund Policy*
By submitting this form, I agree to the following statements.
Person Completing Course
I, the person named on this form, acknowledge that I am the one completing the class and it is my responsibility to review fully and completely both the online materials and the additional companion materials of the Prelicense class. I understand that if I have any questions regarding the content, it is my responsibility to contact Tony Lawler or Erin Holden at 601-939-9866.

The online portion of the course materials, a pdf, will be provided after submission of this form.

Limited Refund Policy
After the registration and payment have been received, you will receive an email with a link to the online portion of the class, instructions on how to access it, an overview of everything coming in the mail, and a USPS tracking number so you can follow the packet as it comes to you. Once you have received the email with this information, a refund will not be possible, as the course material will have already been issued to you and can not be returned due to COVID-19 guidelines.
Comments
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