Enrollment Form
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Course Enrollment Notification

Course # _________________________________

Attention Service Manager!!!

According to our records, you have one or more service technicians enrolled in a GM Training Course at Wayne Community College. Please check the following information to verify that it is accurate. If there are any errors, please contact David Byrd at WCC immediately! Please have your technician bring this notification along with a check payable in the amount listed below to Wayne Community College GM Training. Technicians without payment may not be allowed to enter the class!

Dealer (BAC)_____________________________________

Address______________________________________________

City, State, Zip _____________________________

Phone ______________________ Fax _________________

Service Mgr E-mail ________________________________

Technician enrolled _________________ SS#________________

David Byrd

GM ASEP Coordinator/ GM STC Facilitator

Wayne Community College

Goldsboro, NC

919-735-5151 ext 314

Fax 919-731-2009

dbyrd@waynecc.edu

Course start date __________ 8:30 am _Course end date ___________

Cost of course $_125.00_per day per technician enrolled.

Total Techs enrolled in this class: ____

Total due $___________