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Online Registration Form

This is a enrollment & payment form for Online Registration into Continuing Education Classes. Once completed the registration staff in the Continuing Education Division can register you. If we have any questions we will contact you using the information provided below. If you have any questions you can email Stewart Owens or give our staff a call at (864) 941-8400. You can also contact our staff concerning classes that you would like more information about. Thanks for your interest in our programs!

(Please note that registrations completed after 3:30 pm may not be processed until the next business day.)

Regarding Security!
Piedmont Technical College uses VeriSign® encryption technology to secure information that is transmitted via this form. To verify this information, please click on the VeriSign Secure Site symbol.


Fields marked with an (*) are required:

First Name(*):   Last Name(*):  
PTC ID/SSN#(*):   Birth Date (*):  
Street(*):   City(*):  
State(*):     Zip Code(*):  
Home Telephone:   Work Telephone:
Cell Phone: Email Address:

REGISTER FOR COURSE(S)
Please list below the classes you would like to sign up for:                                                   Click Here for Course Information

Course Number (*)
Course Title (*)
Start Date
Price (*)
 
 
Mo.
Day
 
Mo.
Day

If you are registering for any of our driving courses please give us your Drivers Licenses Number.

  DL#

How did you hear about  this class?  

PAY FOR YOUR COURSES(S) all fields required

Card Type:   Card No.:                            Re-Type Card No.:                           
Name On Card:                            Exp. Date:                            Amount:                 

 



Enter the letters from image:  

PTCFORM  
   

 If you have questions or want to contact the registration staff, please call (864) 941-8400 or email Stewart Owens.