Vanguard Manual Course Enrollment Form Page 2

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MANUAL ENROLLMENT PAYMENT OPTIONS
Payment for college credit may be completed through PayPal through our secure transaction credit/debit online
processing system. We allow for exceptions to this process by the Learner completing this form and submitting
payment via Credit Card, Money Order, E-Check, or Cashier’s Check. Please mail the payment and the completed
form to:
College Credit Connection, LLC.
2331 Honolulu Ave., Suite H
Montrose, CA 91020
Credit Card Information will be processed through PayPal’s Credit Card system. Please supply the following
information if you wish CCC to process your Credit Card as such:
Master Card
Visa
Discover
AMEX
PayPal
Type of Credit Card:
Name on Card: _________________________________________________________________________
Number on Card: ____________________-____________-____________________
Expiration Date: ____/______ Security Code : ________ Amount Approved to be Charged: $__________
Signature Authorizing CCC to process: _______________________________________________________
Please supply the following information if you wish CCC to process your Money Order, E-Check, or Cashier’s Check:
Type of Payment:
Money Order
E-Check
Cashier’s Check
Other_____________
Description and Number: ______________________________________ Payment Amount: $_________
Signature Authorizing CCC to process: _______________________________________________________
Please note that any returned payments or insufficient funds will be subject to a $24.00 bank fee. Your enrollment
will not be complete until the payment has been accepted as valid. Please note that an additional $20 manual
processing fee has been applied to your enrollment payment due.
PDE COURSE ENROLLMENT INFORMATION
PDE COURSES: CCC is in partnership with PDE to offer a wide format and variety of graduate level courses. If you
are taking a course through PDE, there is only ONE step to this enrollment process:
1) Enroll and pay for both the PDE COURSE and the Vanguard University COLLEGE CREDIT TUITION through
CCC.
ANNENBERG COURSE ENROLLMENT INFORMATION
ANNENBERG LEARNER COURSES: CCC has collaborated with Annenberg Learner to offer graduate level courses
via streamed video sessions and completing coursework assignments. If you are taking a course through
Annenberg, there is only ONE step to this enrollment process:
1) Enroll and pay for both the Annenberg COURSE and the Vanguard COLLEGE CREDIT TUITION through CCC.
CCC Manual Enrollment Form - Page 2 of 3

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