Math Content Refresher Courses

Credit Card Form

COMPLETE (Type-in) this form and then PRINT and ENCLOSE with your REGISTRATION FORM

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Course(s)        Calc Refresher I  Calc Refresher II    Pre-Calc RefresherStatistics Refresher
Geometry Refresher   Algebra I Refresher  Algebra II Refresher Middle Math

Note: If you are signing up for more than one course, check each of them above and use this form for all courses.
          You do not have to submit a separate credit card form for each course.

What is the Total Amount of this Charge ($589 per course)

Preferred payment method: Select Visa MasterCard Discover Authorization (on card back - last 3 numbers)

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COMPLETE (Type-in) this form and then PRINT and ENCLOSE with your REGISTRATION FORM