Secure Online Enrollment Request Form

Welcome to VideoCourses4Teachers.com secure server enrollment request page. Please fill out the registration form below to enroll in the courses of your choosing.  Be sure to fill out all fields before submitting your registration to be processed.  A confirmation will appear if your enrollment request is accepted.

For international enrollees there is an additional $25.00 per order shipping charge. Payment accepted only by credit card in US funds. Videos available in DVD NTSC format only. The DVDs will play in all territories but only on NTSC equipment.

Registration and Payment Information
Phone: If you have questions, please call us toll free at 800-486-8650 or direct at 310-823-5255 from 9AM to 5PM Pacific Time Monday thru Friday.
Online: Register using this Online Registration Form.
Mail: Print the online registration form on our website, complete it, and mail with payment to Jim Thompson, The Video Course, 4826 Patrae Street, Los Angeles, CA 90066. Make checks payable to Quality Educational Programs, Inc.

Group Registration Instructions
To qualify for group discounts, all group members must register online on the same day. In the Discount Code box on this online registration form, put GRPRATE.

NOTE:
All fields in the form must be filled. If you are not currently teaching please put "N/A" in the appropriate boxes.

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I am Enrolling with:



*Drake University Credit
Drake University EDMA credits (Educational Masters) are considered transferrable and may be transferred into the following Drake University School of Education Program: Master of Science in Teacher Effectiveness and Professional Development.
I am Enrolling in: (Maximum Courses*)


*Maximum courses per term:
Andrews University 3 course limit.
North Dakota State University 5 course limit.
Drake University 4 course limit.

All video programs are provided on DVDs.
You can save almost $2,000 on your choice of two online Master of Education degrees by transferring in credits earned in these courses. Would you like us to send you more information on these degree programs?
M.Ed. in Classroom Management:

M.Ed. in Differentiated Instruction:
 
Course Cost

Regular Course Fee: $350 per course.
Please see the home page for discount information.

Shipping and Handling

All orders will be shipped First Class mail.  A shipping and handling fee of $10.00 will be added to all orders. 

Shipping Information

All materials will be shipped directly to your home address. International shipping is available for an additional fee of $25 per order. For information call 800-486-8650.
Is your shipping address within the US?
Payment Information   

Shipping and Handling      $10.00
Total Cost $10
Discount Code
Card Type 
Name on Card
Card Number  (no spaces)  
Expiration Date  /  (mm/yy)
Card Verification Code   (CVC)
Personal Information

First Name
Middle Initial
Last Name
Social Security # (last 4 numbers) (e.g.: XXX-XX-6789)
Date of Birth MM/DD/YYYY
Home Email 
Home or Cell Phone 
Gender
Are you a U.S. Citizen or permanent resident?   
Are you of Hispanic or Latino/a ethnicity?   
Select one of the following racial categories that describe you: 

Notice of Non-discrimination: The University does not discriminate on the basis of age, color, ethnicity, handicap, nationality, race, religion, or sex.
Billing Address

Billing Address
City
State/Province
Country
Postal Code
Shipping Address Same as Billing Address

Shipping Address
City
State/Province
Country
Postal Code
 
I am a . . .
If registering as part of a group, group leader's last name:
 
How do you hear about QEP courses?

Friend/Colleague
Print brochure
Email promotion
Search Engine (Yahoo, Google, etc.)
University web site
Facebook Advertisement
Other or can't remember

Registration Information

I understand and agree that with registering for the indicated course(s), I have obligated myself to pay for the course(s). If I later choose to withdraw from the course(s), I understand that a $35 per course administrative fee will be charge and I assume responsibility for officially withdrawing in writing to the university and returning my course materials by the prescribed date to Jim Thompson, The Video Course, 4826 Patrae Street, Los Angeles CA 90066.

I Agree

Review and Submit
Please review your information to ensure the order is processed correctly. Thank you for your interest in our courses. Processing may take a few moments...


(PLEASE CLICK ONCE ONLY TO AVOID DOUBLE CHARGES TO YOUR CARD)


Copyright © 2011 Quality Education Programs, Inc.