Continuing Education Registration Form

Continuing Education Registration Form
Continuing Education Registration Form



First Name required
Last Name required
Address 1: required
City: required
State:
Zip: required
Primary E-mail
Phone Number: required
Register for: required
How did you hear about this course? required
Payment Method


required

Click 'Save and Continue' below to complete registration.

**If you are paying by credit card you must fill out this form and click 'Save and Continue' below.  Then you must fill out an additional registration form by visiting www.wingate-alumni.org/ce  and fill out the information, after clicking 'Save and Continue' below.


Make checks payable to Wingate University Continuing Education


Mail checks to:
Wingate University Ballantyne
Continuing Education Program
c/o Misty Moyers
13024 Ballantyne Corporate Park, Suite 150
Charlotte, NC 28277