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Registration Form
Print a copy of this form and mail it as indicated below.
1. PICK A COURSE OR COURSES

     1. __________________________________

     2. __________________________________

     3. __________________________________

2. ENTER FEES REQUIRED

     Enter Course Number;  Tuition;  Lab/Book Fee;  Total Fees

     1. ________________________________________________________

     2. ________________________________________________________

     3. ________________________________________________________

               ENTER TOTAL FEES HERE >> _________________________

3. GIVE US SOME INFORMATION ABOUT YOU

     Name ____________________________________________

     Mailing Address __________________________________

     City, State __________________________________

     Zip ________________- ___ ___ ___ ___

     Home Telephone __________________________________

     Work Telephone __________________________________

     e-mail _________________________________________

4. SUBMIT REGISTRATION FORM WITH PAYMENT

Only one name may appear on each Registration Form. If you need more, print more copies of this one.

Mail this form with your tuition and fees to Career and Technical Adult Education, c/o Patricia Philbrick, Kennett High School, P.O. Box 12, Conway, NH 03818-0012. Make checks payable to Career and Technical Adult Education.

A check for all fees must accompany your registration.