LAN Administration

Registration/Contact Form

This is the student registration/contact sheet for LAN Administration.  By providing this information I (the instructor) know that you have been to this website and are enrolled in the class.  This information also allows me the ability to contact you (the student) in case of class cancellations, or important class information.  Thank You.

  1. Please provide the following contact information:

    Last Name
    First Name
    SSN (last 4 digits only)
    City
    Home Phone
    Alternate Phone
    E-mail

Phillip Dickson, Business Instructor.
Copyright © 2002 [Black River Technical College]. All rights reserved.
Revised: September 05, 2006