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Winter - Jefferson Community College

Winter - Jefferson Community College

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How To Register for Non-Credit Workshops<strong>Jefferson</strong> <strong>Community</strong> <strong>College</strong> offers telephone/credit card registration so you may choose one of these four easy ways to register for a non-creditworkshop:In Person: Visit the Continuing Education Office, Room E-100, Extended Learning Center. Office Hours: Monday-Friday, 8:00 a.m.-5:00 p.m.When registering in person, payment may be made by check, money order, debit card, credit card or cash. (Mastercard, VISA, Discover)Mail: Complete and mail the registration form below, along with payment (check made payable to <strong>Jefferson</strong> <strong>Community</strong> <strong>College</strong>) to:<strong>Jefferson</strong> <strong>Community</strong> <strong>College</strong>Continuing Education Division1220 Coffeen StreetWatertown, NY 13601Phone: 315-786-2233Fax: Complete and fax the registration form below, also found at www.sunyjefferson.edu, to 315-786-2391. Credit card required.Email: continuingeducation@sunyjefferson.eduDiscounts Honored: Members of AUSA, Greater Watertown Jaycees, JCC Alumni Association, CSEA, and Greater Watertown Chamber of Commerceare entitled to a $5.00 discount off any non-credit workshop. A membership card must be presented at time of registration.Course Cancellation & Refund Policy: <strong>Jefferson</strong> reserves the right to cancel any course which does meet the necessary minimum enrollment. Ifa course is cancelled, registered students will have the option of switching to another course or receiving a 100% refund (via mail). The ContinuingEducation Office will attempt to notify registrants by telephone of course cancellation. You are enrolled as soon as we receive your registration form andpayment. In order to withdraw from a course, the Continuing Education Office must be notified of your withdrawal 24 hours before the scheduled start date.Continuing Education Division, Extended Learning Center, Suite E-100Office Hours: Monday-Friday, 8:30 a.m.-5:00 p.m.Email: continuingeducation@sunyjefferson.eduPhone: 315-786-2233 • Fax: 315-786-2391JEFFERSON COMMUNITY COLLEGEWorkshop & Seminar Registration FormSocial Security number and birth date are required to secure a spot in a workshop. Thisinformation is kept confidentially in accordance with SUNY policies and procedures.Please Print ClearlyName:Address:City: State: Zip:e-mail:Gender: Male FemaleDate of Birth:County:Evening Phone:Have you ever enrolled for a credit course, seminar orworkshop before? Yes NoDay Phone:Social Security Number:Term:U.S. Citizen (circle one): Yes NoCED #: Sect. I.D. Workshop Title: Start Date: Fee:Circle oneMASTERCARD / VISA / DISCOVER Card #:Name (as it appears on card):Exp. Date:Signature:<strong>Jefferson</strong> Insider <strong>Winter</strong> 2011 • 27

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