Initial Information Form
Please
print to complete form:Form also available in Word format: Initial Information Form
Date: _______________
Name (Last, First, MI): ______________________________________
Name (Last, First, MI): ______________________________________
Address (City, State, Zip): ___________________________________
Unit #: ___________
Phone (home): ___________________________________________
Phone (cell): _____________________________________________
Phone (work / ext): ________________________________________
e-mail: _________________________________________________
Which class are you signing up for?
_____ Orientation
_____ Credit
_____ Homebuyer Education
Which class dates would you like to sign up for (list 3)?
______________________
______________________
______________________
How many participants? __________
Cost: Tri-merged credit report - $18.95 single
/ $19.90 joint
Please provide payment at time of class.
Please bring completed form to class.