New Student Matriculation Deposit Form

Last Name:
First Name:
Middle Name:
I will be  (Select One)
Resident Student Commuting Student
You may submit this form electronically by clicking on the "Submit" button below,
and then return to the online payment page.


Or you may print out this form and mail to:
Admissions Office
Piedmont College
P.O. Box 10
Demorest GA 30535
Please enclose your matriculation payment of $100 (checks only) or you may go back to the online payment page to make payment by credit card.

Maintained by: dp
Last Updated: 6/21/03