Realtor

Registration Form

Course Location
Salina Topeka Wichita
Course Date
Participant First Name	Last Name

Company

Business Address

City	State	ZIP
	KS	-
Business Phone #
- -
E-mail

Web site

Check here if you do not wish to have your contact information displayed on the Westar Energy website as a designated EfficiencyWorks Certified Real Estate Agent.

Course Fees: $55.00 - Certified Real Estate Agent with 4 Continuing Education Units (CEU)

Make checks payable to: Westar Energy Currently we do not accept credit cards for method of payment Please send your payment to: Katie Rex Westar Energy PO Box 208 Wichita, KS 67201 316.261.6585 or 1.888.WORKS.50 for questions

PLEASE NOTE: Class space is filled on a first-come, first-served basis. You will be notified of your enrollment status via e-mail upon receipt of payment and class registration.