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REGISTRATION
Community and Continuing Education Fall 2012 Questions? Call (815) 921-3900 Register Now! Payment required at registration
Online
VISIT: www.rockvalleycollege.edu/ceonline THEN: Complete steps listed on next page A non-refundable convenience fee will be charged for this service.
STUDENT ID NUMBER:
(OPTIONAL)
LAST:
FIRST:
MIDDLE:
NUMBER & STREET:
PREVIOUS/MAIDEN NAME:
Send registration form
CITY:
AND PAYMENT to: STATE:
ZIP:
HOME:
COUNTY:
CELL:
COUNTRY:
Records and Registration Rock Valley College 3301 N. Mulford Rd. Rockford, IL 61114-5699
EMAIL:
Allow three days for delivery
In Person
Bring registration form AND PAYMENT to: Records and Registration Rock Valley College, Student Center 3301 N. Mulford Rd., Rockford
MAIL REGISTRATION AND CHECK TO:
Office Hours: Monday - Thursday, 8 am - 6 pm Friday, 8 am - 5 pm Friday in Summer, 8 am - 1 pm
Course Name
Sample: ART 818 RV
Beginning Calligraphy
$81.00
Payment Information • You must make payment when you register Registrations without payment WILL NOT be processed
* A non-refundable 2.5% transaction fee will be charged for all credit/debit card transactions both online and in person. No registrations or payments will be taken over the phone.
• Payment options: – Checks made payable to “Rock Valley College” – Master Card, Discover, American Express and Debit Cards • Allow three days when mailing payment and please include Student ID# on your check