SAMFORD AFTER SUNDOWN
REGISTRATION FORM
Please Note:
This information will be e-mailed to Metro College. When you're finished, click "Send" or "Clear" to erase the form and start over.
Today's Date:
Title:
Mr.
Ms.
Dr.
First Name:
M I:
Last Name:
Employer:
Social Sec. #:
Office Phone:
Home Phone:
Mailing Address:
City:
State:
Zip:
When did you last take a SAS course?
Last term
Within 2 years
Over 2 years
Never
COURSE INFORMATION
Course Title
Course Numbers
Session/Dates
Fees
NOTE CONCERNING PAYMENT: Payment cannot be made through our web page. You may pay with MasterCard, Visa, or Discover Card by calling the Samford After Sundown office at 1 205 870-2739, or by mailing a check for the total registration fee amount to:
Samford After Sundown
Box 292255
Birmingham, AL 35229
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Table of Contents
Modified by Steve Merrill: 4 February 1998