Registration Information

      College of Eastern Utah - San Juan Campus
     Continuing and Community Education
           Registration Form
 

 Name_______________________________________      Date________________ 

 Street Address____________________City____________State_____ Zip_______ 
 
 Phone _______________     e-mail __________________      FAX _____________ 
 
                  CLASS                                                  FEE                    DISCOUNT 
 1.__________________________                     ________               _________ 
 2.__________________________                     ________               _________ 
 3.__________________________                     ________               _________ 

Office use only: 
 Amount Owed___________Check no. _____________   Cash________ 
 Mail check or money order and registration to H. Young, CEU-SJC , 639 W. 100S.   Blanding, UT,   84511, or pay our cashier, Eva, upstairs in the Administration Building (Dr. Gibbon’s old  home).  Fees will be refunded only if class does not carry.  Pre-registration is highly recommended.                            Thanks! 
 
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