By submitting this form, you are registering for the online course(s) you select below. Classes begin on January 8, 2018. Information about how to connect to the course will be e-mailed prior to the first class session. Course registration can be canceled until January 14, 2018, by emailing email@example.com and requesting withdrawal from the course. Students who do not complete payment in a timely manner will be removed from the class roster and will be recorded as having withdrawn from the course before successfully completing it. Students who withdraw before the refund period ends will not be billed.
For course fees and billing information, please contact Lauren Teme at firstname.lastname@example.org.