Inver Hills Community College

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Registration Form
 

Complete the form below and use "Submit Registration" button at bottom, however this is not an  encrypted submission.   If paying by credit card, please call in your payment at 651-450-3578.

 

If you prefer to send you registration in by mail, phone, fax or in-person, please return to the Registration Information Page.

Section 1:  Please provide the following information:

First name  
Last name  
Street address  
Address (cont.)
City  
State/Province Zip/Postal code   
Employer
Work Phone
Home Phone  		     
 
FAX
E-mail 		  
 
   

Section 2:  Please provide the following course information:

Course Name     Course Name
Course #     Course #
Start Date     Start Date
Cost     Cost
Course Name

  Course Name

Course # 

  Course #

Start Date

  Start Date

Cost

 

 Cost

 

Section 3: If your company is paying for this class complete Section 3.  If not, then continue  on to Section 4.
Company Name
Street address
Address (cont.)
City
State/Province           Zip/Postal code
Company Billing contact person
Company Purchase Order # 

A copy of your Purchase Order must be sent to Inver Hills Community College to complete the registration process.
Work Phone 
Work Fax 
Section 4: Make your check or money order payable to Inver Hills Community College.
Total Cost
Payment Options
Credit Card #  Please phone in for security reasons
Expiration Date  
This is not an  encrypted submission.   Please call in your credit card  payment:  651-450-3578.
Refund Policy: A refund will be allowed if cancellation is received at least three days prior to the event. No-shows are not refundable.

If you have any questions please call 651-450-3578.