To pay by CHECK, please fill out the following form (Be sure to check the "Pay By Check?" option Box at the bottom of this form) and click on SUBMIT, then Mail check to AIRE, PO Box 1681, Searcy, AR 72145.
To pay by CREDIT CARD, please fill out the form on this screen. Then Click on SUBMIT at the bottom, and it will take you to the PAYPAL Page where you enter your CREDIT CARD INFO.

Date/Location:
Course/Description:
Full Name as Licensed:
Address:
City:
State:
Zip / Postal Code:
AREC License # (if applicable):
Phone Number:
E-mail Address:
Web Address/URL:
Paying By Check?
Comments/Questions:	Place Comments in here!