RAP Program for Lifelong Learners Membership/Registration Form
Please note: You must be a current member of RAP to register for activities/classes that RAP is offering. The membership fee may be included with your registration.
To register by mail - print this form. Complete form and mail with payment to Registration Office, McHenry County College, 8900 U.S. Hwy 14, Crystal Lake, IL 60012
|Birth Date: _________________|
|Name: ______________________________________ Phone: _____________________|
|City: _______________________________ State: _________ Zip: _________________|
|RAP Activity/Class Title||Class ID #||Cost|
|$25 Annual Membership Fee||NRA C01 001|
|Please make checks payable to McHenry County College or use a credit card.|
|Visa/MasterCard/Discover Acct. # _______________________________________|
|Three digit security code ____________________|
|Expiration date _______________________________________|
|Signature of card holder _______________________________________|
For more information, please call (815) 455-8752.