GENEALOGY COLLOQUIUM
REGISTRATION FORM

June 11 - 16, 2017

Registration Deadline:   June 7, 2017

An asterisk(*) indicates a required field
TOTAL COST
Amount:    $300.00 Dates:   June 11 - 16, 2017
Registration deadline: June 7, 2017
Includes:   ALL Classes, Field Trip and Sunday Refreshments

ATTENDEE INFORMATION
Male Female


Zip:*


Home Phone:

PAYMENT OPTIONS
  Credit Card
  Personal Check or Money Order
Paying with a Check or MO Please Print this page
Make all checks and money orders payable to: ASU Continuing Education. Include drivers license, home and work phone numbers on check

PAY WITH CHECK OR MONEY ORDER
Mail to:

ASU Division of Continuing Education
P O Box 271
Montgomery AL 36101-0271

PAY BY PHONE
Credit Card Only
Please Call:   334-229-4686

PAY IN PERSON
Visit our office at:
Alabama State University
Division of Continuing Education
1030 W. University Drive
Montgomery, AL 36104
Phone Number:   334-229-4686

TOTAL AMOUNT DUE: