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2025 EDUCATION PROGRAM REGISTRATION FORM
Please complete all sections of this registration form or register online at
www.asppa.org/professional-development/credentials-and-certificates/
. Incomplete forms may delay processing.
Registration fees are not refundable.
Email address must be provided for access to the certificate programs.
APPLICANT INFORMATION
Name:
*
Prefix
First
MI
Last
Title:
*
Company:
*
Work Number:
*
###
-
###
-
####
Work Email:
*
Address Type:
Home
Business
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Check here if your address has changed since your last examination
If your name differs from that used on a previous application, please indicate prior name.
Prefix
First
MI
Last
Which credential(s) are you currently working to attain by taking this examination(s)?
CBS
CPC
QKA
QKC
QKS
QPA
TGPC
Education Program
ASPPA Introduction to Retirement Plans (IRP) - $420
NAPA Introduction to Retirement Plans (IRP) - $420
RPF Module Certificate Program - $610
QKA-1 Plan Management Package - $870
QKA-2 Testing & Compliance Package - $870
Cash Balance Specialist Package (CBS) - $870
Qualified 401(k) Specialist (QKS) - $870
Qualified 401(k) Consultant Package (QKC) - $870
Qualified Pension Administrator Package (QPA) - $870
Certified Pension Consultant Package (CPC) - $1,120
TGPC Credential Package - $870
METHOD OF PAYMENT:
*
Credit Card
Check
Credit Card Type
*
Visa
MasterCard
American Express
Discover
Credit Card Payment
*
Card Number
Expiration
MM
/
YY
CVV
What is this?
3 or 4 digit number printed on the back/front of your credit card
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Cardholder’s Name:
*
First
Last
Authorized Signature:
*
Clear
Submissions will not be processed until payment is received.
If paying by check, please allow 7-10 business days for access to the exam. You will receive an email once your payment has been processed.
Mail completed registration form with check payment to: ASPPA | PO Box 34725 | Alexandria, VA 22334-0725
Questions? Contact us at 703-516-9300.
Total
$0.00
