Academy Online Registration

Academy of Advance Funeral Planning Online Registration Form

Please fill out the registration form below and click submit. Upon receiving this completed form and the required course tuition fee, your registration will be complete. You will be mailed an informative pre-training packet of course information within 10 days of completing your official registration. Thank you!

Select course
Name
Business
Mailing Address
Address Line 2
City
State
Zip Code	-
Business Phone
Cell Phone
Email address
Do you have your Life Insurance license?
Do you have previous funeral experience?
If yes, please describe:
Upon returning from training, I will be utilizing the following lead sources:	Direct Mail
	Funeral Home Files
	Community Presentations/Expos
	Family Service Follow-up
	Walk In /Call In /Medicaid
	Other
If Other, please describe
Your funeral home currently uses:	Assurance IAssurance IIOtherNot Applicable/Don't Know
Will you be driving or flying?
Ground transportation needed?
Hotel Accommodations needed?
Smoking or non-smoking?

Prefer to submit your registration by US Mail? Click here to download the registration form as a PDF file.