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Registration Form: 

Use this form to enroll in HSU courses.  Use a separate form for each individual enrolling.  Copies of the form are acceptable.  No acknowledgment of fees mailed will be made.  You are enrolled unless otherwise notified.

Have you enrolled previously at HS University?             yes     no   
 
Name

Address

City State ZIP

Contact Person  

Phone Fax:

Course Name: 

Online Start Date:

Fee  Call for online fees!                                            

Please enroll persons.

Name, Position

Fees: people/person at $ per person       Total: $

Check: Make your check payable to HS University, P.O. Box 2482, Cordova, TN 38088-2482 

Charge all fees to:

MasterCard   Visa   Discover   American Express

Card No. Expiration Date

Please bill the company: letter of authorization or purchase order will follow via fax at 901-380-8616.
I have read and understand the registration and refund procedures for HS courses.

Signature Date

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