Name* First Last Address* Mailing Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone*Email* Illinois License #* Wisconsin License # District # LOCATION: Springfield, IL*Springfield, IL - Dec 15 & 16, 2022Ramada Springfield North 3281 Northfield Drive Springfield, IL 62702CE Classes*Illinois OnlyWisconsin & Illinois (I understand I will be billed for Wisconsin Classes by ISAA - $25 per class)Ethics (12/15/22)*NOT AttendingReal Estate Contracts - $40.00Mandatory Course Conducting Benefit Auctions (12/15/22)*NOT AttendingBenefit Auctions - $40.00Elective CourseSocial Media (12/15/22)*NOT AttendingSocial Media - $40.00Elective CourseSexual Harassment Prevention (12/16/22)*NOT AttendingSexual Harassment - $40.00Mandatory Course required by IDFPR as of 2020.Credit Card Processing Fee Price: $0.00 5% Credit Card Processing FeeTotal $0.00 Credit CardCard Details Cardholder Name Δ