School of Extended & International Education Registration Form (MAIL OR FAX ONLY)

DO NOT EMAIL THIS FORM - IT WILL NOT BE ACCEPTED OR PROCESSED.

Fill in, print , then mail or fax to:
School of Extended & International Education
1801 E. Cotati Ave.
Rohnert Park, CA 94928
Fax Number: 707-664-2613


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Course Title Dept # (e.g. BUS 800) Class # (0000) Units Fee

Pick a date




Print this form, then sign in "Signature for Credit Card" box. If faxing, you may fax the printed form. Fax Number: 707-664-2613. If mailing, without using credit card, please attach check or money order to this printed form, and mail to:

School of Extended & International Education
1801 E. Cotati Ave.
Rohnert Park, CA 94928