As an NAABC member who has attended either the CBC and/or the ACBC class, you are entitled to take a "refresher"* class at a discount of 50% (if an active member) or 50% minus $50.00 (CBC) or $25 (ACBC) if inactive (completing the class will extend your active status or reactivate your membership and designation for 18 months). Please complete the registration form below and submit to NAABC with the appropriate payment. Please see the "Calendar" on this website to determine preferred class dates. Please check for active or inactive status at NAABCX@aol.com.

*" Refresher" students attend regularly scheduled classes with other refresher students and first time students

CHARTERED BENEFIT CONSULTANT & ADVANCED CHARTERED BENEFIT CONSULTANT “REFRESHER” REGISTRATION

 

I am an “active” member of NAABC          (circle one)                YES           NO            (If unsure, please contact NAABC at NAABCX@aol.com)

Name:   _____________________________________________________________________

 

Email Address:  ______________________________________________________________

 

Home State:   ______________________________       Next License Renewal  (mm/yyyy)   __________  /  __________

PLEASE NOTE:  When filing Insurance CE credits, some states require the use of Social Security Numbers, others require separate insurance license numbers, others require National Producer Numbers (NPNs) while still others use System IDs.  PLEASE VERIFY WHICH NUMBER YOUR STATE REQUIRES BEFORE COMPLETING THIS FORM!!!

(Please underline which number is being entered.  If applying for CE credits for the same course in a different reporting period, please submit this completd form at your earliest convenience)

Social Security, NPN, Insurance License Number or System ID: _______________________________       

Please register me for:

check one      class type                                                           location (city,state)                                         date(s)

Refresher Tuition:

   class type           Active Member      Inactive Member           New Student (Regular Tuition-For illustration purposes only)

Payment Options:

check one

Card # ___  ___  ___  ___     ___  ___  ___  ___     ___  ___  ___  ___     ___  ___  ___  ___

Exp Date (mm/yy) ___________          Amount $ _______________

 

Signature: _________________________________________________     Date: ________________

Name as it appears on the card: _____________________________________________________________________________