Please enter the STUDENT'S information below:

 Name*:
Address*:
Address:
City*: State*: Zip*:
Home*:
Cell:
Email:

Pre-licensing class:

Complete this form first then select option to pay via check or charge (online).

Fill out this form and mail it to:
Omega Real Estate School
Administrative Office
4764 Limestone Rd
Wilmington, DE 19808

Please select one of the options below:
_____ Registration fee ONLY $150.00 ($100.00 is NON-REFUNDABLE)
_____Pay balance due of $245.00 (tuition) and $100.00 (textbooks: 3 required) must be paid 15 days prior to start of class.

_____$395.00 includes Registration Fee $150.00 ($100.00 is NON-REFUNDABLE) and Tuition $245.00
_____Textbooks must be paid 15 days prior to the start of class ($100.00). Textbooks include 3 required.

_____Payment in full $495.00.
$150.00 Registration Fee $100.00 is NON-REFUNDABLE,
$245.00 Tuition,
$100.00 Textbooks (This includes 3 required textbooks)
Books will be delivered at the start of the first class.

This form can be faxed to: Ruth @ (302) 999-0578

Include credit card info: Card Type: MC / VISA (circle one)

Card Number:_____/_____/_____/_____ Expr Date: ____/____