Aflac CP153 Course and CE Registration Form - The American - theamericancollege 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by selecting whether you are a new or returning student. If returning, enter your student number and skip the Social Security Number field.
3. Fill in your legal name, gender, date of birth (for new students), and company affiliation. Ensure that all information matches your credit card details for payment processing.
4. Provide your contact information including street address, city, state, zip/postal code, phone number, and primary email (required).
5. Indicate if you have an insurance license by selecting 'Yes' or 'No', and if applicable, provide your state of licensure and license number.
6. Select whether you request CE credit for your course(s) by checking 'Yes' or 'No'. Review the current CE fees on TheAmericanCollege.edu/CE.
7. Complete the fee summary section by entering tuition fees and any continuing education fees. Calculate the total amount due.
8. Choose your method of payment and fill in the required credit card details including account number and expiration date.
9. Sign the form to authorize payment and agree to The College’s refund policies before submitting it via fax to 610-526-1300.

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