Student Information:
_________________________________________________________________
Name
_________________________________________________________________
Address
_________________________________________________________________
City State Zip Code E-Mail Address
_________________________________________________________________
Social Security Number Day Phone
_________________________________________________________________
Business/Organization
_________________________________________________________________
Please enter your Priority Code (such as STP024) if you have one
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__________________________________ Student's Signature
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_______________ Date
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Accepted By:
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__________________________________ School Official
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________________ Date
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Register for Communication Effectiveness using any of the following options:
Phone: (321) 939-7616
Fax: (321) 939-7606
Mail:
Registrar, Stetson Center at Celebration
800 Celebration Avenue, Celebration, Florida
34747
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Communication Effectiveness |
Date: January 17, 2006 8:30 a.m. to 5:00 p.m. Lunch included.
Tuition: $159 (1 person); $149 ea. (2-5 people); $139 ea. (6+ people) |
Method of
Payment:
[ ] American Express [ ]
MasterCard [ ] VISA [ ] Diners Club [ ] Check or Money Order (Made to Stetson University) |
(for Credit Cards:)
[ ] Card Number: ____ ____ ____ ____
[ ] Exp. Date: ____________________
[ ] Signature: _____________________ |
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