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Registration:
Name of Course Attending
Name
Social Security Number
Title/Position
Organization
Street Address
City, State, Zip
Phone, Fax
E-mail
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Method of Payment:
PO #
I authorize Montcalm Community College to charge $
to my:
Visa
Mastercard
Discover
Credit Card Number
Expiration Date
Name as it appears on bill
Make checks payable to MCC, send to:
M-TEC
1325 Yellow Jacket Drive
Greenville, MI 48838
Once submitted, your registration will be
held until payment is received. No payments will be accepted
after five days prior to the start date. Confirmation
will be mailed to you upon payment.
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