ABRC Home Insurance Pre-License Seminar Information Insurance Pre-License Seminar Schedule Insurance Pre-License Seminar Registration Insurance Exam Information Continuing Education Programs Continuing Education Program Order Forms Online Continuing Education Final Exam NASD Program Order Forms NASD Programs Pearson VUE Illinois Department of Financial and Professional Regulations Certified Financial Planner (CFP) Board of Insurance Contact ABRC by E-Mail
	There are four ways to order your ABRC® program: Complete the order form below and press "Enter Information" to e-mail your order to us. We will confirm your order by e-mail on our next business day. Complete the order form below. You may then print this page, fill in your MasterCard, Visa or Discover card information by hand after it has been printed, and then fax the completed form to us 24 hours a day at (217) 753-1574. Order by phone, charging to your MasterCard, Visa or Discover card. Call toll-free at 1-888-753-2272. Complete the order form below. You may then print this page and mail your order form with your check or money order to ABRC®, 3 Lawrence Square, Springfield, IL 62704. Please complete all order fields!
	Life/Health Insurance
		L/H 023 - Financial Planning I - $95.00 - 15 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		L/H 032 Financial Planning II - $95.00 - 15 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		L/H 035 - Estate Planning - $95.00 - 15 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		L/H 009 - Illinois Traditional Long-Term Care and Medicare Supplement Insurance Combined - $95.00 - 18 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		L/H 007 - Illinois Traditional Long-Term Care Insurance Only - $65.00 - 6 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		L/H 018 - Medicare Supplement Insurance - $65.00 - 12 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		L/H 010 - Introduction To Life Insurance - $95.00 - 15 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		L/H 027 - Annuity Concepts - $65.00 - 9 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		L/H 036 - Principles of Retirement Planning - $95.00 - 15 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		L/H 012 - Business Life & Health Insurance - $95.00 - 15 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		L/H O30 - Disability Income Concepts Only - $65.00 - 8 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		L/H O25 - Universal Life and Variable Universal Life - $95.00 - 15 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		L/H O26 - Group Insurance - $95.00 - 15 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		L/H O31 - Ethical Practices - $95.00 - 15 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		L/H O33 - Variable Contracts - $95.00 - 15 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		L/H O34 - Equity-Index Annuities - $65.00 - 12 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
	Property/Casualty Insurance
		P/C 007 - Homeowner Coverage - $95.00 - 15 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		P/C 008 - Dwelling Coverage - $95.00 - 15 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		P/C 010 - Personal Auto Coverage and Rating Combined - $95.00 - 21 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		P/C 020 - Personal Auto Coverage Only - $65.00 - 13 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		P/C 021 - Personal Auto Rating Only - $65.00 - 8 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		P/C 011 - Personal Inland Marine and Watercraft Coverage - $95.00 - 15 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		P/C 012 - Umbrella Liability Coverage - $95.00 - 15 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		P/C 005 - Commercial Property Coverage - $95.00 - 15 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		P/C 006 - Commercial General Liability Coverage - $95.00 - 15 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		P/C 018 - Commercial Auto Coverage - $95.00  - 15 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		P/C 014 - Commercial Crime Coverage - $95.00 - 15 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		P/C 015 - Commercial lnland Marine Coverage - $95.00  - 15 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		P/C 016 - Property Casualty Insurance Package Policies for Small Businesses - $95.00 - 15 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		P/C 017 - Workers Compensation Coverage - $95.00 - 15 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
		P/C 019 - Business Income Coverage - $95.00  - 15 hours (includes 7.75% Illinois Sales Tax as well as all shipping and handling charges)
	Your Name       Email Address       Home Street Address, City, State & Zip       Social Security Number       Telephone Number       Agency or Company Representing (if affiliated -- no affiliation required)       Manager's Name       Agency or Company Manager Street Address, City, State & Zip       Agency or Company Telephone Number       Agency or Company Fax Number
	Payment Method:       MasterCard VISA Discover Card Check Money Order Credit Card Number       Expires       Card ID (3 numbers located on back of card)       Name as it Appears on Card         Credit Card Billing Address         Shipping Information Ship UPS next day to my business address other than my home. (No additional charge) Ship UPS 2 day delivery to my home address. (No additional charge) Ship UPS overnight delivery by 10 a.m. to my home ($20.00 additional charge applies)   Are you associated with a PIIAI member agency?         Please complete all order fields!