CE_Flyer_Template - Q uestions about this workshop(s should...

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Questions about this workshop(s) should be directed to Continuing Education at 425-267-0150. Refund Policy : Cancellations need to be made to Continuing Education within four (4) business days before the workshop start date. Payment is due at the time of registration _______________ ____________________ ________________ ITEM NUMBER COURSE NAME COURSE DATE/S ________________________________________________________ NAME SOCIAL SECURITY # ________________________________________________________ ADDRESS CITY ST ZIP ________________________________________________________ PHONE: (DAY) (EVENING) BIRTHDATE Have you attended EvCC before? Yes No U.S. Citizen? Yes No How long have you resided in WA state?________________ Ethnic origin: ______________________ Paying by: Check VISA M/C Card # ________________________________________________________ Exp. Date: ____________ Name as it appears on card: _____________________________________ V-code *: _______________ Signature: ___________________________________________________________________________
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Unformatted text preview: * The V-code is the last 3 digits of the number located on the back of your Visa/MasterCard. We now require the V-code in order to process your credit card. This new policy has been implemented in response to the increasing threat of credit card fraud. This policy is in place to protect you! HOW TO REGISTER Payment is due at time of registration. By mail : Fill out, clip and mail form to Everett Community College attn: Continuing Education 2000 Tower Street, Everett WA 98201 Include check or money order. By phone : Call Continuing Education 425-267-0150, Monday-Friday 8:30-4:30pm. Have VISA or M/C information ready. By FAX : Fill out form and FAX to 425-267-0171. Include credit card information. In person : Jackson Center, (main campus) 2000 Tower Street, Everett WA 98201 Monday-Friday 9:30-4pm Everett Community College abides by all state and federal nondiscrimination and equal opportunity requirements....
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  • Spring '13
  • NA
  • Credit card, Everett Community College, Everett WA

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