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How to fill out the Download The Registration Form - Susan Samueli Center For ... online
Filling out the registration form for the Susan Samueli Center is a straightforward process. This guide will provide you with step-by-step instructions to ensure that your application is completed accurately and efficiently.
Follow the steps to fill out the registration form online.
- Click the ‘Get Form’ button to access the registration form and open it for editing.
- Begin by entering your first name, middle initial (if applicable), and last name in the designated fields. Ensure that all information is written legibly.
- Fill in your complete address, including city, state, and zip code, making sure to double-check for accuracy.
- Provide your daytime phone number and fax number in the appropriate sections, then enter your email address, as this will be used for confirmation of acceptance.
- Note the date and time of the mandatory information session, as well as the schedule for the 5-week class. This is useful for references while filling in the form.
- Specify your method of payment by checking either the box for check payment or providing credit card information. If using a credit card, ensure you include the brand (VISA, MC, AMEX), cardholder's name, card number, and expiration date.
- Sign and date the form where indicated, confirming your payment method. If you are sending a check, note where to mail it.
- Ensure you have all the required components for enrollment: the completed registration form, payment, and signed waiver form. Remember, no reservations can be made via phone or email.
- After filling out the form, save any changes. You can then download or print the file for your records or to submit it as required.
Complete your registration form online today to secure your spot at the Susan Samueli Center!
Filling out a patient registration form is straightforward. Begin by downloading the registration form from the Susan Samueli Center For website. Follow the prompts to enter your personal information and medical history. After completing the form, take a moment to review everything for accuracy, then submit it to initiate your care process without any hitches.
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