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| Continuing Studies Home > Liberal Studies & the Arts > Online Learning | ||
Use this form to register by fax or by mail.
Secure online registration is also available.
To register by phone call 608-262-2451. If you have other questions, please call toll-free 877-336-7836.
By Mail
1) Print this page
2) Complete form and mail to: Online Courses, Dept. of Liberal Studies and the
Arts,
Attn: Lori O'Neill, 21 N Park St., 7th Floor, Madison WI 53715.
(Make checks payable to UW-Madison)
By Fax
1) Print this page
2) Complete form and fax to 608-262-1694 (Credit
card payment only)
UW Code#W60
| Name* (Required) | __________________________________________________________ |
| Mailing address: | |
| Line 1 | __________________________________________________________ |
| Line 2 | __________________________________________________________ |
| City | __________________________________________________________ |
| State | __________ ZIP __________ |
| Country (if not USA) | __________________________________________________________ |
| E-mail * (Required) | __________________________________________________________ |
| Phone w/area code | __________________________________________________________ |
| Class | __________________________________________________________ |
| Class number | __________ |
| Amount charged to credit card |
__________ |
| Credit card | MasterCard Visa American Express |
| Credit card number | __________________________________________________________ |
| Expiration date | Month __________ Year __________ |
| Cardholder's name | __________________________________________________________ |
The Department of Liberal Studies & the Arts is a part of the University of Wisconsin-Madison Division of Continuing Studies. The units within Continuing Studies provide continuing education programs for lifelong learners, from precollege to seniors, as well as counseling services for adult learners. You will find the UW-Madison Continuing Studies home page at http://www.dcs.wisc.edu, or browse the Web site using the navigational links below.
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File last updated: April 21, 2009
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