Florida Surety Agents AssociationSecure Order Form

Florida Surety Agents Association

Select the item(s) below that you would like to order. Your transaction will be confirmed by email.
120-hr. Certification Course ($ 600.00 each)
120-hr. Certification Course (Member-Sponsored Student) ($ 550.00 each)
Chapter 648 Update ($ 100.00 each)
Chapter 903 Update ($ 100.00 each)
Bail Motion Seminar ($ 100.00 each)
Securing and Converting Collateral ($ 100.00 each)
Surviving an Agency Audit ($ 100.00 each)
Uniform Criminal Extradition Act ($ 100.00 each)
Use of Deadly Force for Lawful Self Defense ($ 100.00 each)
FSAA Individual Membership ($ 150.00 each)
FSAA Associate Membership ($ 100.00 each)

GENERAL INFORMATION **ALL REQUESTED INFORMATION MUST BE PROVIDED**

First Name: Last Name:

Address:

City: State: Zip:

Country: Bail License No.:

Phone Number:

E-Mail Address:

CREDIT CARD INFORMATION

Card Number: Exp. Date:

Submit this form ONCE ONLY. Your transaction should be completed in 10-60 seconds, depending on Internet traffic. In some cases, it may take longer.

First Name:	Last Name:
Address:
City:	State: Zip:
Country:	Bail License No.:
Phone Number:
E-Mail Address: