E-mail Registration Form

Registration Form/Request for Service

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Technology Learning Centers

Registration Form. [Registrant: Please keep a copy for your records.]

Please register me for the following scheduled class(es):

(Attach additional forms if needed.)

Class Name	Section Reference	Start Date	Fee



[Note: registration is considered complete on receipt of full payment.] Payment Enclosed:

Today's date:

Name: Company (if applicable):

Address: City: State: Zip:

Phone: Fax: Email address:

Responsible Party Designation. This registration will be paid for by:

Student: Other party as specified:

Contact Person:

Company or Organization:
(If applicable)

Address:

City:

State:

Zip:

Phone:

Fax:

Registration Procedures

1. Unless otherwise indicated, all courses meet in the TLC classroom, 2652 US 41 West, Marquette—north side of the highway next to Tires Plus, across from Frei Chevrolet.

2. To register, send a completed registration form with payment or call TLC at (906) 225-1557 to register by phone. Registration will be considered complete on receipt of full payment.

3. Payment may be by cash, check, money order, or credit card. Please do not send cash through the mail.

4. Advance registration will guarantee a seat in high-demand courses and helps us with our planning.

5. Cancellations. We reserve the right to cancel classes with low enrollment. In such cases 48 hours notice will be given whenever possible. Enrollee has the option of a full refund or credit toward a different course or service. Cancellations by enrollee must be at least one week prior to the beginning of a class to receive a refund. A processing fee of $10 or 2% of the amount refunded, whichever is greater, will be deducted from the refund.