2021 PR101-201 Brochure - 6

Payroll 101: Foundations of Payroll/Payroll 201: Payroll Administration | Registration Form
American Payroll Association * Payroll Learning Center
233 S. 4th Street, 3rd Floor, Las Vegas, NV 89101-5785 * 660 North Main Avenue, Suite 100, San Antonio, TX 78205-1217 * Phone: (210) 224-6406 * Fax: (210) 224-6038

Three Enrollment Options:
1. Register online* at www.americanpayroll.org/101 or
www.americanpayroll.org/201

(use a new form for each registration)
I wish to attend:	 ❏ Payroll 101: Foundations of Payroll	 ❏ Payroll 201: Payroll Administration
Delivery Method: ❏ In Person	 ❏ Virtual

2. Fax* form to (210) 224-6038

Course Code: ______________________________ Course Dates: _____________________________________

3. Mail form with your CHECK to
	
API Fund for Payroll Education, Inc.
	
c/o Payroll Learning Center
	
660 North Main Avenue, Suite 100
	
San Antonio, TX 78205-1217
*Credit Card required
Las Vegas
Cancellations and Refunds: (1) Refund computations will be
based on the course time expressed in clock hours. (2) The
effective date of termination for refund purposes will be the
earliest of the following: (a) the last date of attendance; or (b)
the date of receipt of written notice from the student. (3) If
tuition and fees are collected in advance, $100 shall be retained
by the API Fund for Payroll Education, Inc./Payroll Learning
Center. (4) If the student fails to enter the course, withdraws, or
the course is discontinued at any time before completion, the
student will be refunded the pro rata portion of tuition, fees,
and other charges that the number of class hours remaining
in the course after the effective date of termination bears to
the total number of class hours in the course. (5) A full refund
of all tuition and fees is due in each of the following cases: (a)
if an enrollee is not accepted by the school; (b) if the course
of instruction is discontinued by the school and this prevents
the student from completing the course; or (c) if the student's
enrollment was procured as a result of any misrepresentation
in advertising or promotional materials of the school, or
misrepresentations by the owner or representative of the
school. (6) Refunds will be totally consummated within 15 days
after the effective date of termination.
Students with unresolved problems with the Payroll Learning
Center may contact: Las Vegas location: Nevada Commission
on Postsecondary Education, 8778 S. Maryland Parkway,
Suite 115, Las Vegas, NV 89123-6705. Any holder of this
consumer credit contract is subject to all claims and defenses
which the debtor could assert against the seller of goods
or services obtained pursuant hereto or with the proceeds
hereof. Recovery hereunder by the debtor shall not exceed the
amounts paid by the debtor hereunder.
San Antonio
Substitutions: For each transfer/substitution, there is a $55
non-refundable administrative fee. The substitute may also be
charged the difference in price. Each substitution will require
completion of a substitution form and will be assessed the fee.
A representative will provide the form. Requests should be
made by calling Customer Service.
Cancellations: Written requests received seven business days
prior - full refund; four to six business days prior - refund less
$50 service charge; fewer than four business days prior - APA
credit will be issued less $100 and will be valid for one year
from the date of issue. Cancellations the day of the program or
after the program dates are nonrefundable and noncredited.
Refunds will be made in original form of payment. APA regrets
that refunds will not be given for no-shows. View the complete
policies at bit.ly/APA-policies.

❏	 I am an APA MEMBER. Member's ID #:__________________________________________________ $1,999
❏	
	
	
	

I am a COLLEAGUE of an APA Member (at the same street address)__________________________ $2,124
Colleague's ID #:__________________________________________________________________________
Member's Name:__________________________________________________________________________
Member's ID #:__________________________________________________________________________

❏	 I want to JOIN APA now and register at the member rate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,296
	
Class Registration Fee at Member Rate. . . . . . . . . . . . . . . . .  $1,999
	
Annual Membership Dues**. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $262		
	
One-time Membership Enrollment Fee. . . . . . . . . . . . . . . . . . . .  $35
	Total. . . . . . . . . .  $	2,296
❏ I am NOT an APA Member or Colleague. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,275
**Dues are subject to change without notice and are nonrefundable. Membership is on an individual basis; corporate memberships are not
available. 100% of membership dues are deductible as an ordinary business expense.

Registrant's Information:
Name: ❏ Ms. ❏ Mr.____________________________________________________________________________
Title:______________________________________ Organization:_______________________________________
Street Address:_________________________________________________________________________________
City: _________________ State/Province: _________Country:___________ Zip + 4-Digit/Postal Code: ________
Telephone:___________________________________ Fax:____________________________________________
	

(Area/Country Code)	

(Area/Country Code)

Email: ________________________________________________________________________________________
	

	

(For official APA communications , registration confirmations, Payroll Currently, and PAYTECH-Digital)

Please indicate if you are: ❏ CPA ❏ PA (For NASBA reporting purposes)
Needed for new member enrollment: Birth date:___________ /___________________ /___________________
If you have a disability or require special services, call (210) 224-6406, M - F, 8 a.m. - 6 p.m. CT at least 14 days in advance.
Special Dietary Request: ❏ Vegetarian
	

❏ Gluten-free

❏ Kosher ❏ Vegan ❏ Dairy Allergy

❏ Peanut Allergy ❏ Shellfish Allergy

Payment in U.S. dollars must accompany registration form. Currency Converter: www.xe.com
See enrollment options at the top left.

❏ Check #	 ❏ Credit Card: ❏ American Express ❏ Discover ❏ MasterCard ❏ Visa
	

I authorize the API Fund for Payroll Education, Inc. to CHARGE my credit card.

	

Card is (check one): ❏ Corporate ❏ Personal

	

Card #:____________________________________________________________________________________

	

Exp Date:________________________________________________CVV:______________________________
	 Name on credit card:________________________________________________________________________

	

Signature of cardholder: _____________________________________________________________________

❏ Purchase Order #: _______________________________________________

(government agencies/universities only)

I have reviewed the course enrollment agreement and related materials (staff roster, course description,
schedule and school policies, etc.) found at bit.ly/APA-policies and understand my rights and responsibilities as
expressed in these documents.
Student's Signature:____________________________________________ Date:_________________________
Last updated: December 2020

EMT: 2021NXT

FOR OFFICE USE ONLY:
Date: ______________ Order #: _______________________Control Batch #:_____________________________________________
C/P: ___________________________________________Total: $ ___________________________________________________________
School Representative's Signature:__________________________________________________ Date: _________________________


http://www.americanpayroll.org/101 http://www.americanpayroll.org/201 http://www.xe.com http://www.bit.ly/APA-policies http://www.bit.ly/APA-policies

2021 PR101-201 Brochure

Table of Contents for the Digital Edition of 2021 PR101-201 Brochure

2021 PR101-201 Brochure - 1
2021 PR101-201 Brochure - 2
2021 PR101-201 Brochure - 3
2021 PR101-201 Brochure - 4
2021 PR101-201 Brochure - 5
2021 PR101-201 Brochure - 6
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