course registration form 2008

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#006699" TEXT="#080000" background="08b085a3.jpg"> <div> <FONT SIZE="5" COLOR="#FFFFFF" FACE="Arial" ><B>Plymouth County Education Association</B></FONT><B>     |     </B><A HREF="index.htm" TARGET="_top" TITLE="Plymouth County Education Association"><U><B>home</B></U></A></div> <div> <A HREF="id17.htm" TARGET="_top" TITLE="Annual Meeting of PCEA"><U>Annual Meeting of PCEA</U></A>   |   <A HREF="id21.htm" TARGET="_top" TITLE="Awards Banquet Form"><U>Awards Banquet Form</U></A>   |   <A HREF="id23.htm" TARGET="_top" TITLE="Who We Are"><U>Who We Are</U></A>   |   <A HREF="id24.htm" TARGET="_top" TITLE="Legislative Conference"><U>Legislative Conference</U></A>   |   <A HREF="id22.htm" TARGET="_top" TITLE="Awards Banquet Information"><U>Awards Banquet Information</U></A>   |   <A HREF="id25.htm" TARGET="_top" TITLE="Contact Us"><U>Contact Us</U></A>   |   <A HREF="id19.htm" TARGET="_top" TITLE=" Courses"><U> Courses</U></A>   |   <B>course registration form 2008</B>   |   <A HREF="id28.htm" TARGET="_top" TITLE="Shelter English Instruction Form"><U>Shelter English Instruction Form</U></A>   |   <A HREF="id29.htm" TARGET="_top" TITLE="Southeast Educators Conference "><U>Southeast Educators' Conference     </U></A></div> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFFFFF" TEXT="#080000" background="08cd2e83.jpg"> <bR> </td> <td valign="top" height=390 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <B> </B></div> <div> <B> </B></div> <div> <B> </B></div> <div> <B><U>PCEA COURSE REGISTRATION</U></B></div> <div>                        (For office use only)</div> <div>      <B><U>Please PRINT CLEARLY</U></B></div> <bR> <div> NAME____________________________________SS#_________________</div> <div> HOME ADDRESS_______________________________________________</div> <div> CITY/TOWN_______________________________ZIP CODE____________</div> <div> PHONE (work)_______________________ PHONE (home)______________</div> <div> SCHOOL ADDRESS_____________________________________________</div> <div> CITY/TOWN______________________________ZIP CODE_____________</div> <div> E-MAIL ADDRESS:  _____________________________________________</div> <bR> <div> I am a PCEA Member: (Signature)___________________________________</div> <div> Local Association: _______________________________________________</div> <bR> <div> <B><U>CHECK APPROPRIATE CHOICE:</U></B></div> <div> PCEA Credit:                                $340.00 ______________</div> <div> Framingham College Credit:           $440.00_______________</div> <bR> <div> <B><U>COURSE TITLE:</U></B></div> <div> 1.__________________________________________________</div> <div> 2.__________________________________________________</div> <div> 3.__________________________________________________</div> <bR> <div> Tuition Paid:               $____________</div> <div> Registration Fee:        $10.00</div> <div>             On-line Fee                $10.00 On-line course only deadline June 16</div> <div> Total enclosed:          $____________</div> <bR> <div> <B><U>REGISTRATION DEADLINE for regular courses- September, 19, 2008</U></B></div> <div> <B><U>ON-LINE COURSE DEADLINE ONE WEEK PRIOR TO STARTES </U></B></div> <div> Make <U>checks</U> payable to <B>PCEA, P.O. Box 49, Mattapoisett, MA 02739</B></div> <div> <B>NOTE</B>:  PCEA is not responsible for postal delays</div> <bR> <div> <B>Please Note:</B>  Course registrants seeking Framingham State College credit</div> <div> for the course(s) will be asked to complete an additional college registration </div> <div> form on the first night of class  This will provide the college with additional</div> <div> personal data as required by the college.</div> <bR> </td> </tr></table></body>