financial management course registration form six ways to enroll

FINANCIAL MANAGEMENT COURSE
REGISTRATION FORM
This course is offered at the Office of the Chapter 13
Trustee, located at 224 S. Michigan Ave., Chicago, in
Suite 800-B, Monday through Thursday at 9:30 AM
and 3:00 PM.
FREE TO ALL DEBTORS
ASSIGNED TO THIS OFFICE!
Please fill out the information below and then see the
bottom of this page for one of the six convenient ways
of returning your registration form to us.
B
Case Number: _________________________
Name: _______________________________
Address: _____________________________
City: _______________ St: ____ Zip: _____
Daytime Phone: (_____) _________________
Evening Phone: (_____) _________________
Email: _______________________________
Please choose your Date, Day and Time:
Date: ________________________, 20 _____
Monday
❏ 9:30 AM ❏ 3:00 PM
Wednesday
❏ 9:30 AM ❏ 3:00 PM
Tuesday
❏ 9:30 AM ❏ 3:00 PM
Thursday
❏ 9:30 AM ❏ 3:00 PM
* Please Note: The Wednesday class is not available on
the Wednesday preceding the third Friday of each month.
SIX WAYS TO ENROLL
①
Hand the completed registration form to
the Receptionist
②
③
Register online at
www.chicago13.com
Email the completed registration form to:
[email protected]
Submit Registration
④
⑤
Call 1-312-431-5597
FAX the completed registration form to:
1-312-431-6522
⑥
Mail the completed registration form to:
ATTENTION: DEBTOR EDUCATION
OFFICE OF THE CHAPTER 13 TRUSTEE
224 S MICHIGAN AVE STE 800
CHICAGO IL 60604-2503