Course Enrollment Form

You may use our enrollment form in one of the following fashions:
 
  • Use the SUBMIT BUTTON below to submit information without credit card information. After our receipt of your enrollment, we will contact you via telephone for credit card information. SEE ALERT! BELOW
  • PRINT AND FAX with credit card information to: (714) 751-9065.
  • PRINT AND MAIL with check payable to Loyola Marymount University or credit card information to:
  Enhancement Courses®
3151 Airway Avenue #B-2
Costa Mesa, CA 92626
ALERT! We have discovered that in some cases Enrollment Forms submitted FROM SCHOOL COMPUTERS have not reached us! If you are using a school computer, we suggest you print out the form and submit it by fax.

For enrollments other than by phone, please provide the following information: 

Full Name (as it will appear on transcripts):

Street Address (no PO box, please):

City:

 State:

Zip: Country:

E-mail:

Social Security No.:

Date of Birth (mm/dd/yy):

Telephone No. (with A/C):

Please enroll me in course no.(s):

Course name(s):

All materials or worksheets only(*):

Name of school district:

* Worksheets Only recommended only if this is your second INTERNET CURRICULUM DEVELOPMENT course enrollment. NOT recommended for the traditional Enhancement Courses unless you and a friend or spouse are enrolling at the same time, as materials are changed frequently.
The following is for fax or mail orders. Please print out, then write in the payment details and fax to us at (714) 751-9065. Your course will be shipped via UPS the following day.

Please charge my: (circle one)   VISA --- MasterCard

Number __________-__________-__________-__________

Expiration Date: ___________ 

Signature: ____________________________________________

Do not submit your enrollment over the Internet if you are mailing or faxing in your enrollment with payment.

To enroll by phone, or if you have questions, call:
1-800-762-0121

The entire content of the Enhancement Courses Web Site is copyrighted: Enhancement Courses® 1988-2007 All Rights Reserved. The following are trademarks of MJM Associates Education Division: Enhancement Courses®