On-Line Course Registration Form
Audit Option
Course:
Characteristics of Individuals Who Learn Differently
by Dr. Richard Cooper

Please complete and submit the form below. After your registration has been processed, you will
receive a confirmation e-mail that will include your link to the course along with other course information.
Please Note:
If you do not receive your confirmation email within two days, please contact us
by email at:
rcooper-ldr@comcast.net

Contact Information
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All required fields must be completed for the registration to be processed.
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If your information is correct, click the Submit Form Button.
After clicking the Submit Form Button a screen will come up showing the information you entered. This verifies that your registration has been submitted.