Register Online Student Name / Parent Name* First Last Child's Name (If Applicable) First Last Child's Age (If Applicable)Class selection* CPR/AED - Professional Rescuer Two-Year (New) Certification CPR/AED - Professional Rescuer Two-Year Re-Certification Real Estate - CE Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Enter Email Confirm Email Total $0.00 If you are unable to pay with a card below, you will need to arrange payment via cash or check by emailing JeremyHunter@saumag.edu or by visiting the Beyond the Campus Store in downtown Magnolia. You may still proceed with registration, but leave the card information below blank. How would you like to pay?* Online by card Check or cash Credit Card DiscoverMasterCardVisaSupported Credit Cards: Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date Security Code Cardholder Name CommentsThis field is hidden when viewing the formTransaction IDThis field is hidden when viewing the formCodeThis field is hidden when viewing the formDateThis field is hidden when viewing the formDescription Δ
