Workshop Registration- Spring 2001

Social Security Number:_________________

Name: ______________________________

Address:____________________________

City: ____________ State:____ Zip:_______

Day Phone:__________________________

E-mail:______________________________

MATH599 - 1 Grad credit - NJ Res.- $288.00
MATH599 - 1 Grad credit - nonres. - $404.00
CEDL399 -   Non-credit - $199.00
This course may be used towards the 100 hours of professional development for teachers.

Method of Payment:

Enclosed is a check payable to
William Paterson University for $___________

Please charge my (circle one):
Mastercard Visa Discover

Amount: $____________________________

Card #:______________________________

Expiration Date: __________ /____________

Signature:_____________________________

Return check and form to:
Center for Continuing Education & 
Distance Learning
William Paterson University
PO Box 913
Wayne, NJ 07474-0913

Confirmation and directions will be mailed to you. In-person registration is available on a space available basis

Refund Policy: A full refund will be given if CEDL cancels any course or workshop. A written notice of withdrawal must be received prior to the date of the event to receive a refund.
For further information, call (973) 720-2354.