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Name:
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Co-Borrower:
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How did you learn about the program:
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Closing date (if applicable):
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Current Address:
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City, State Zip:
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Home Phone:
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Cell Phone:
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Work Phone:
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Your email address:
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Language:
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Homebuyer Education Class Date:
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Name of Loan Officer/Lender (if applicable):
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Name of Realtor/Real Estate Agent (if applicable):
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Comments
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You will receive a confirmation call back of your registration
in 1 - 3 business days.
To receive a Certificate of completion both the class and one
on one counseling session must be completed. The
counseling session is scheduled at the attended class.
Note: In the unlikely event that class registration is less than
5 households, we will cancel the class and notify you 24 to 48
hours in advance of the class date.
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