North Penn Community Education Courses: Fall 2012 / Winter 2013

INFO:

This form is loaded in Admin Mode. In this mode you may add registrants to inactive forms, bypass capacity checks and use the "Pay In Person" payment form to bypass payment processing. You may cancel admin mode if you wish to use the form as normal.

Welcome To Online Registration

tell a friend

INFO:

Please note that this form contains limited capacity items which are sold out. They are displayed grayed out and/or are not selectable.

Promotional Code

How would you like to pay?

When would you like to pay?

Registrant Fee:		$0.00
Group Fee:		$0.00
Registration Fee:
Quantity Discount:		-
Promotional Discount:		-
Subtotal:
Online Service Fee:		$0.00
Delayed Payment Surcharge:
Total Fee:

Billing information

First Name

Last Name

Country

Address

City

State/Province

Zip/Postal

Phone

Billing and Payment
Billing and payment processing for Businesses' events is performed by Member Solutions, Inc. ("MSI"), and this contract is specifically assigned to MSI for all such purposes. Customer knowingly and irrevocably authorizes MSI to charge electronically Customer's bank account and/or credit card for any and all amounts due for Customer's, and anyone registering under Customer's, attendance and participation in the Event. Please note, you may see all or any portion of the following on your bank or credit card statement: "MSI*NORTHPENNCOMMUNITYED 8882448044 ONLINE REG FEE". Any returned payment will be assessed a $25.00 fee. Any unsuccessful electronic transaction is subject to a $10.00 processing fee. MSI is not responsible for any bank fees incurred by Customer. MSI has the sole right to resubmit returned or declined items (plus applicable fees) without prior notice. BILLING INQUIRIES -- 888-244-8044 or by mail to PO Box 297, Hatboro, PA 19040.

Applicant Agreement
I represent that I am the person who appears on the application above. I acknowledge and agree to the statements, terms and conditions above, as well as any applicable terms and conditions for this registration, and that by typing my name below and completing this registration form, I am electronically signing the document, which will have the same legal effect as the execution of the document by a written signature and shall be valid evidence of my intent and agreement to be bound.

Applicant Signature
Please enter your full name in the space below.

Please click the button below to finalize your registration.

Registration inquiries:
Contact Paula Malley at 215-853-1028 and Gail Beigel at 215-853-1029, or email cep@northpenn.org

	= required field

= required field

Privacy Policy
Oops! You do not have javascript enabled. This registration process depends on javascript to function correctly.

Please enable javascript in your browser and then reload this page.

Username:
Password:
cancel