Registration

Bail Education Association - Registration Form

Please fill in the form below.
Full Name *

First Name Middle Initial Last Name
Social Security # **
Phone Number *
E-mail *
How did you hear about us?
Enter the message as it's shown *
Course location *

412 Vernon Street, Roseville, CA 95678 1517 Flower Street, Glendale, CA 91201
Course date *
My Products

20-Hour Accelerated Bail Agent & Bail Recovery Combined Course $ 550.00

8-Hour Bail Recovery Update & Bail Agent CE Course $ 180.00

6-Hour Bail Agent Continuing Education Course $ 160.00

6-Hour CEW (Taser) User Course & Continuing Education $ 160.00

6-Hour CEW (Taser) User Course $ 150.00

Live Scan $ 69.00

Passport Photos (set of two) $ 10.00

8-Hour Guard Card Module - 1 $ 60.00

16-Hour Guard Card Module - 2 $ 130.00

16-Hour Guard Card Module - 3 $ 130.00

Total $ 0.00
* Required

** Mandatory pursuant to Cal. Ins. Code, § 1666.5; Cal. Civil Code, § 1798.17; Cal. Family Code, § 17520(d); and Federal Privacy Act of 1974, §§7(a)(2)(B) and 7(b).
Should be Empty:

Bail Education Association - Registration Form