ORDER FORM FOR STUDY GUIDES Date:
Study Guide Price Qty. Total
Study Guides with Online Practice Testing Option:
Property/Casualty with Online Practice Exam $125.00
includes P&C Alaska Law
Life/Health with Online Practice Exam $125.00
includes L&H Alaska Law
Shipping & Handling Charge $10.00
Total Amount Due/Enclosed =
We require payment by check or credit cards only. Checks should be made payable to AIIAB.
If you have any questions on the study guides, please call (907) 349-2500.
Send payment and order form to: AIIAB
701 W. 41st Ave., Suite 103
Anchorage, AK 99503
Send Questions to: AIIAB Office email: email@example.com or call (907) 349-2500.
Questions regarding Licensing Process should be directed to the State of Alaska, Division of Insurance
Or Fax credit card information to AIIAB at 907-349-1300
Circle One: VISA MC
Card Number _______________________________
Expiration Date ___________ CCV Code (3 digits on back of card)________
Name on Card_______________________________
Card Billing Address__________________________
Please follow up with a phone call to the AIIAB office to insure receipt of order. Or, print, scan and send to firstname.lastname@example.org for a faster response. Thanks!