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Fax Registration Form
Print out and complete this form. Fax with credit card information to
Community Education at (360) 383-3201. You may also mail the form with check attached to:
Whatcom Community College, Attn: Business Office, 237 W. Kellogg Road, Bellingham, WA 98226.
Whatcom Community
Education Fax Registration Form |
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Name: |
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Have you
ever attended Whatcom? ___ |
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Address: |
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City /
State / Zip: |
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Day Phone: |
Date of Birth: |
Male / Female |
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Evening Phone: |
Email Address: |
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Class # |
Class Title |
Time |
Start Date |
Fee |
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Total Payment Enclosed: |
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| Payment method: |
[ ] Check Payable to Whatcom Community College
[ ] VISA [ ] MasterCard (VISA & MC also accepted by phone:
360.383.3200) |
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Account
Number: |
V#: |
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Name on
Card: |
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Expiration: |
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