Online Registration
If you need to pay via Credit Card, please skip this form and Click Here to Register.
Your Name
Address:  
 Street 1
 Street 2
 City
 State
 Zip
 Country
Organization/Affiliation
 Position
Daytime Phone
Other Phone
Fax (optional)
Email
Distance Learning Experience
(please list)

FEE

$695 (includes course materials, access to online classroom and certificate upon graduation).

FORM OF PAYMENT - Please choose 1 method of payment



Purchase Order
If Purchase Order, please supply PO#

Fax Purchase Order to: (678)839-0636, attn: Dawn Senfeld. Must be received within 24 hours of registration.






I will mail a check (drawn on US funds). Please make payable to:
University of West Georgia.

Mail to:
  University of West Georgia,
  attn: Dawn Senfeld
  Distance & Distributed Education
  Murphy Building
  Carrollton, Georgia 30118

Or Call: 678.839.6248 for Help.



 
Cost

Course tuition is $695, and includes course materials, access to the on-line classroom, and a certificate upon graduation.
Technical Requirements

Participants should have access to a computer with at least 128 MB RAM; a 56K dialup or broadband connection; and Windows XP or Vista / Mac OS 10.3 or higher. Internet Explorer 7, Firefox 2.0 or Safari 3.0 is required.
Information

e-mail Melanie Clay
Certificate Program Administrator