Online Course Registration
Please print and mail form with tuition and fees for online course.  You must
register before the course deadline ends.  If you do not register or course is
not paid in full, no credit will be give and course will be dropped.  If you have
any questions or concerns please call us @ 706-722-7593 or just click
HELP.
                               Online Course Registration

*please complete the entire form

Class:__________________________________________ Professor:______________________


Full Name:_____________________________________________________________________

Address:_______________________________________________________________________

City/State/Zip:___________________________________________________________________

Home #:________________________________Work #:_________________________________

Soc. Sec. #:_
***-**-______________________ E-mail:_________________________________

Degrees Held (please include institution):______________________________________________

Degree Sought:__________________________________________________________________

How to send your curriculum (circle one):  E-mail    or     Standard Mail

COURSE FEES:
Course Fee:        $___.00
Material Fee:        $30.00
Other Fee:                        
TOTAL:         _________



*All checks or money orders please make out to Southern Bible Seminary
**Mailing Address:

Southern Bible Institute & Seminary
P.O. Box 906
802 Greene St.
Augusta, GA 30901
OFFICE USE ONLY:
EXAM GRADE:________________
FINAL GRADE:________________
TUITION & FEES:______________
AMOUNT OWED:______________