Insurance Educational Systems, Inc.
Insurance Educational Systems, Inc.

Enrollment Application

Listed below is the Enrollment Application. Students/managers can print and copy the enrollment application and mail with payment of check, money order or credit card information. In addition, students/managers may fax the enrollment application to the office with a credit card. We accept the following debit/credit cards, Visa, MasterCard and Discover (see Tuition amounts here.)


Tuition RECEIVED by the last business day prior to the scheduled class will receive a $25 discount per class.



Students may also choose to sign up for all insurance classes online.

Select the "Home" button at the top of this page and then select the red button in the middle of the page "Click HERE to pay online" to go to the secure online store.


Enrollment Application - Classroom
Click the link below to view/print application:
Classroom Enrollment App 11.4.15.pdf
Adobe Acrobat document [21.8 KB]

*      I.      E.      S.       *

Administrative Office:

4917 Waters Edge Dr.
Suite 239-1
Raleigh, NC 27606


(O) (919) 859-2104(F) (800) 971-4371


Office hours:

Monday - Friday 

8:30 am - 4:00 pm

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