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

Name:  

Have you ever attended Whatcom? ___

Address:
City / State / Zip:
Day Phone: Date of Birth:

Male  /  Female

Evening Phone: Email Address:
Class # Class Title Time Start Date Fee
              
              
              
              

Total Payment Enclosed:

      
Payment method: [ ] Check Payable to Whatcom Community College
[ ] VISA [ ] MasterCard (VISA & MC also accepted by phone: 360.383.3200)
Account Number:    V#:
Name on Card:
Expiration: 

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