Workforce Development & Continuing Education
Please Print Clearly
Do not use this form for Youth Classes, Ed2Go Online Classes, and/or APPE/ESL Classes.
NOTE: To received a full refund for a class, you must ofcially drop the class before the refund date indicated
on your registration form. For one-day classes, you must drop the class before the class start date.
College ID Number:
Last Name First Name
Please drop the following class(es):
CRN # Course # Course Title Start Date
Reason for dropping the class(es):
If you registered and paid online via MYMC, refunds will be posted to your credit card used. Students registering in person, by mail, or by fax, will
receive refunds by check.
Student Signature Required Date
To submit completed form:
Mail to: Montgomery College WD&CE
900 Hungerford Drive, MK #300G
Rockville, MD 20850
Or Fax to: 240-567-1877
Or in Person: Deliver to any WD&CE Customer Service ofce.
For Ofce Use Only
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