( ALL INFORMATION PROVIDED WILL BE KEPT CONFIDENTIAL! )
* INCORRECT INFORMATION THAT RESULTS IN A NEW CARD BEING MADE WILL BE AT A REPLACEMENT COST OF $10.00
We will use your email address for association communication including class, newsletters, website log in, etc. It is our policy not to sell or transmit your information to third parties.
I understand it is my responsibility to make sure my information is correct. Please visit www.NIPR.com to verify your license number. I understand if my agent license is revoked or terminated, I will surrender my ID card to the SCBAA as soon as possible. I confirm that the above information is correct.
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