Upper Cape Cod Regional Technical School
Continuing Education Program - Printable Registration Form
220 Sandwich Road, Bourne, Massachusetts 02532
(508) 759-7711 x211      www.uppercapetech.cc

 

How to Register:
  1. Note the course code and descriptive name of the course(s) in which you wish to enroll.
  2. Print out this order form. (Keyboard shortcut: Ctrl P on a PC, Cmd P on a Mac.)
  3. Fill out this order form with the requested information.
  4. Fax this order form with credit card information to 508-759-7208 or
  5. Mail it with credit card information or a check/money order to:

    Upper Cape Tech Continuing Education,
    220 Sandwich Road, Bourne, MA 02532. (Check payable to Upper Cape Tech.)
    Full payment is due at time of registration

     

    Name:
    Mailing Address:
    City, State, Zip:
    Home Phone:
    Work Phone:
    E-Mail:
    How did you hear about us?

    Course Name Course Code Price
    1.


    2.


    3.


    SUBTOTAL:
    Registration fee $10
    Computer Bundle discount (if applicable)
    TOTAL:

    Method of Payment (check one):
    Check/Money Order VISA MasterCard

    Credit Card Number: ____________________________________
    Exp. Date: ______________

    CID Number (3 digits on back of card) ________________

    Cardholder's Signature: _______________________________

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