Professional Bank Marketing Strategies, Inc. (PBMS) 1212 N. Garfield, Marion Illinois 62959
(618) 997-6789 • FAX: (618) 997-8047 •

Ethics Class Enrollment Form

IF YOU HAVE ALREADY ENROLLED AND ARE RETURNING TO MAKE PAYMENT

To make payment for the classes you previously enrolled for go HERE


New enrollee? If so, scroll down, select class date, enroll and purchase.
If you are taking this class as part of a group/package deal, please choose the appropriate group below:

(Note: This information is subject to verification)

You have preselected your class date and location from the calendar.
(To change it click here)

All Class Times are 9 a.m.-noon
**Enrollment confirmation by email - final directions 3-5 days prior to class**

E-mail Address (to Confirm Completions/changes):
Please include your email address. CEDaddy will not provide your email address for use by any third party whatsoever.


Last Name: First Name:

(Required for Certification) NPN#:
Required! Don't know your NPN#? Find your NPN here: www.nipr.com


Phone:      Home Address:
Contact # for severe weather changes

City: , State: ZIP

License Renewal Date:

Please tell us how you heard about CEDaddy:
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Normal Refund Policy: Credit applied to future class or Traditional Con - Ed.

Enr.REV.02/15/2013