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Your Name
Course
Course Location
Home Address
Town, State, Zip
Your E-mail
Home Phone
School / Employer
Job Title or Grade Level(s)
Your Work Phone
Will you take this course for graduate credit?

        
 Please see descriptions

Comments

                                               


Payment:Your registration is finalized when we receive payment for the course(s) or workshop(s) for which you have registered.

The payment options available are:

Personal check or school district (employer’s) check.
Make out to: Southeast VT Learning Collaborative and
mail to P.O. Box 300, Brattleboro, VT 05302-0300.

Pay online through PayPal, using a credit card. This is a secure service. Your credit card will only be charged the exact amount of the course fee which you enter online. Click the PayPal button here and complete their short form:

Purchase Order from a school district or other employer. This option may or may not be available to you, based on your employer. Make out to: Southeast VT Learning Collaborative and mail to P.O. Box 300, Brattleboro, VT 05302-0300. Or fax your PO to 802-246-1188. Our EIN (which your employer will need) is 03-0372419. We will then invoice your employer, based on the PO.

Please note about graduate credit: If you are selecting a course that offers graduate credit and you wish to choose that, you can pay the full amount now (course fee and graduate credit fee) or bring the graduate credit payment to the first class.

PLEASE NOTE!        By submitting this registration, you are agreeing to this policy:

I understand that by registering, via e-mail or paper copy, for the program named here, I have made a firm enrollment commitment.

No refund will be given if I withdraw 14 days or fewer ahead of the start of the course or other program, or if I fail to attend the sessions. Please see Course Details for certain earlier “no refund” dates on specific courses.

Additional Registration Information

If you are taking this course or workshop as a non-credit offering, you have completed your registration when you submit this form. 

You will receive a registration confirmation from The Learning Collaborative through e-mail.

If you are taking this course or workshop for credit, you will also need to complete a registration form for the higher education institution that is offering credit. For most courses, this is done on the first day of class.

Southeast Vermont Learning Collaborative, PO Box 300, Brattleboro, VT 05302
Toll Free Phone Number:  866-889-0042
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