Georgia Highlands College

Registration Form

Note: This page is for registration of non-credit continuing education classes only. To register for academic credit classes, please click here.

All fields are required. Problems with the form? Please call 678-872-8240 or email gwhite@highlands.edu

Register Me For:

Course Title:

Course Date:

Course #:

Name:

Address:

City: State:

Zip Code:

Occupation:

Email Address:

Day Phone:

Evening Phone:

Payment Information: (How will you be paying for the course?)

Cash Check Visa MasterCard

Comments:

Please contact me by phone for credit card payment.



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