Non-Credit Registration Form:
Bucks County Community College
Day for All Women Conference - November 1, 2008
Workshops:
Indicate by workshop number 1st, 2nd & 3rd Choice
| Session Choices |
1st |
2nd |
3rd |
| Session I (9:15 -10:30 am) |
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| Session II (10:45 am - 12 noon) |
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| Session III (2:30 - 3:45 pm) |
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Disability accomodations - Advanced Notice Required
Please call Mary at 215-968-8187
I would like to help with scholarship
by donating ___$10 ___$15 ___$25 other $_____ |
| Class No. |
Fee |
| RSPON 0001.01 |
$30 |
Donation:
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Total:
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Pre-Registration Deadline:
Pre-registrations must be post marked no later than Friday, October 17.
Fee is $30, non-refundable.
Fee includes lunch. After October 17, the fee is $35, payable at
the door.
| Name:Last________________________ |
First______________________________ |
| Address:________________________________________________________________ |
| City:_____________________________ |
State:_______ |
Zip:__________________ |
| Telephone:_______________________ |
e-mail:_______________________________ |
| Registration Signature____________________ |
Birth Date ____________________ |
Make Checks Payable to:Bucks County Community College
| Print and Return this form to : |
Bucks County Community College |
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Continuing Education, Cottage 3 |
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275 Swamp Road |
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Newtown, PA 18940 |
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