DROP FORM
Workforce Development & Continuing Education
Please Print Clearly
Drop Form
Do not use this form for Youth Classes, Ed2Go Online Classes, and/or APPE/ESL Classes.
Visit https://www.montgomerycollege.edu/workforce-development-continuing-education/registration-information/index.html
NOTE: To received a full refund for a class, you must ofcially 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.
Month
Day
Year
M 2
Birth Date
College ID Number:
- -
Last Name First Name
Middle Initial
Home
E-Mail
Phone
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
Attn: Refunds
900 Hungerford Drive, MK #300G
Rockville, MD 20850
Or Fax to: 240-567-1877
Or in Person: Deliver to any WD&CE Customer Service ofce.
https://www.montgomerycollege.edu/workforce-development-continuing-education/registration-information/index.html
For Ofce Use Only
Received Date:
click to sign
signature
click to edit
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