Registration

Bail Education Association - Registration Form

Please fill in the form below.
Full Name*

First NameMiddle InitialLast 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 956781517 Flower Street, Glendale, CA 91201
Course date*
My Products
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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).
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Bail Education Association - Registration Form