Continuing Education Registration Form

 
 
     
             
           
             
       
            
 
Enter course details below      
   
       
   
       
   
<July 2010>
SuMoTuWeThFrSa
27282930123
45678910
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<July 2010>
SuMoTuWeThFrSa
27282930123
45678910
11121314151617
18192021222324
25262728293031
1234567
       
   
       
   
       
   
<July 2010>
SuMoTuWeThFrSa
27282930123
45678910
11121314151617
18192021222324
25262728293031
1234567

UM-Helena Payment Options:
  1. By Phone: 406-444-7378
    We will accept phone registrations with either Visa or Master Card. Please include:
    • The course, evening and time.
    • Your name, address, day and evening phone.
    • Your credit card number, expiration date, and CVV code.

  2. By Mail or E-Mail:
    Fill out the registration form and mail in with your check, money order, or credit card information to: UM-Helena, 1115 N. Roberts Street Helena, MT 59601 lannertm@umhelena.edu

  3. In Person:
    UM-Helena Donaldson Campus • Monday - Friday • 8:00am - 5:00pm

  4. By Fax: 406-444-6892
    Fax registration form with credit card or business billing information.