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Semester Course Registration by Check


Print and complete the form below. Then, mail it with your payment to the following address. You will receive course access information and instructions via e-mail as soon as your payment has been received.


Attn: Course Registration

30 Corporate Park #310

Irvine, CA 92606


First and Last Name:

Last Four Digits of Your Social Security Number:

Home Phone (Include Area Code):

Complete Mailing Address:


School District:

School Name:

E-Mail Address (Very Important!):


Choose One

UCSD credit requested (additional $230 for three 1/3 semester credits)

No credit requested


Print this page and circle or highlight the course(s) you wish to register for. Registration fee for all courses is $199 each.

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