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To Register by Mail:
Print and mail the following form with payment to:
The University of Dayton
Special Programs
300 College Park
Dayton OH 45469-1350
To Register by Fax: (937) 229-3500
To Register by Phone: (937) 229-2347
REGISTRATION FORM: (photocopy or print as needed - one registrant per form please)
CPS Exam Review Course
August 5 - November 6, 2008
Tuesdays and Thursday 6:00 P.M. - 8:00 P.M.
NAME: _____________________________________________
ORGANIZATION: _____________________________________________
ADDRESS: _____________________________________________
CITY _____________________ STATE _____ ZIP ________
PHONE _____________________ FAX _____________________
EMAIL ADDRESS _____________________________________________
Please indicate any special needs you may have and we will contact you.
_________________________________________________________________
Registration FEE:(*)
* Cost of exam is NOT included. Refer to IAAP Capstone for current exam fees.
$600.00 with review manuals
$400.00 without review manuals
Method of Payment:
Check or Money Order payable to; The University of Dayton
Purchase Order #: _________________________________
(Please enclose a copy of the Purchase Order with this registration form.
We will send an invoice to the contact person listed.)
UD/UDRI Tuition Remission Form
Visa
MasterCard
Discover
Card Account Number _____________________________________________
Expiration Date _____________________________________________
Signature of Authorized Cardholder _____________________________________________
TOTAL REMITTANCE $__________________________________________
Continuing Education Units:
Upon successful completion of the program, participants will receive Continuing Education Units (CEU). The CPS Exam Review Course is approved by the University of Dayton for 3.6 CEU. You must attend every session to earn CEU.
Cancellation Policy:
We will refund, in full, cancellations received before July 25, 2008. Refunds are not possible after this date. Substitution of participants is acceptable at any time. Requests for refunds must be made in writing. All refunds will be charged a $25.00 administrative fee.
For Additional Information:
Please call University of Dayton, Special Programs and Continuing Education at (937) 229-2347 or visit our website at:
https://continuingeducation.udayton.edu
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