After successfully registering using this form, please provide advance payment with one of the three additional options listed below:
1. Pay on-line at the WIU-QC webpage to use PayPal or a credit card which is a secure transaction.
2. Mail in a check made out the Western Illinois University, Attn: Bill Jorgesen, 3300 River Drive, Moline, IL 61265
3. Include a PO number and we will bill you.
The information you submit will only be used by WIU-QC and will not be redistributed or sold.