AVID COURSE REGISTRATION FORM

Course:________________

Dates:_________________

Location:

Wexner Center for the Arts
The Ohio State University
1871 North High Street
Columbus, OH 43210

 

Fee:_________________ (see course schedule)

Please send completed form with course payment via fax or U.S. Mail to:

Jennifer Lange
Wexner Center for the Arts
The Ohio State University
1871 North High Street
Columbus, OH 43210
fax: (614) 688-5774

Pay by Mastercard, VISA, American Express, Discover, or check payable to The Ohio State University.

Refund Policy: Full payment must be received no later than two weeks prior to class start date. If payment is not received by that date, the course space will be made available to other students. If unable to attend, students must cancel at least one week prior to the class start date. No refunds will be given after that date.

All course dates are subject to change.

Payment must accompany registration form.

Name_________________________________________________________

Company______________________________________________________

Address___________________________________

City___________________ State_______ Zip_______ Tel:______________

Credit card: VISA________ MC_________AmEx________ Discover_______

card #______________________________ expiration date_______________

Please note: no payments will be accepted via e-mail.