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Online Registration

PARTICIPANT INFORMATION

All fields are required
Name:
as it should appear on the certificate
Address:
City:
State:
Zip:
Phone Number:
Fax Number:
Email:
Check here if you need the certificate sent directly to the Lender
        and then fill in the following fields.
Lender:
Contact Person:
Address:
City:
State:
Zip:
Phone Number:
Fax Number:

PAYMENT OPTIONS

A course certificate will not be provided unless payment has been received and the course verification review has been completed
Total $ 15
Pay by Check Mail payment to:
Marilyn Albertson
Utah State University Extension
2001 South State Street S-1200
Salt Lake City, UT 84190-2350
PAY BY CREDIT CARD
Pay Credit Card by Phone Call 1-801-468-3179 and provide credit card information. Indicate that you are registering for the Online Home Buyer Education Course.
Pay by Credit Card Online
Enter the Credit Card Information Below:
Credit Card:
Name of Card Holder:
Credit Card Number:
Expiration Date:
Phone Number of Card Holder:
PAY USING A SPONSORING AGENCY
Check here if you are working with an agency for funding and they are paying for your class registration, please provide the following information and have them contact us to arrange to pay the fees:
Sponsoring Agency :
Agency Contact Person :
Mailing Address:
Phone Number of Agency: