Milford, CT Adult Education
 

Registration Form - Fall 2008
Fill out, Print, and mail with fee ( one form for each course )

Registration form MUST accompany tuition payment or you will not be registered for your class.

Name
H.Phone
W.Phone
Cell Phone
Address
City
Zip
E-Mail
Date


Please check where appropriate:Senior Citizen (60+) Handicapped

Course #
Course Title
Day
Location
Fee


Total Due

*Please be sure to use the correct course number

CHECKS ARE PAYABLE TO MILFORD ADULT EDUCATION
There will be a $15.00 fee for any check returned by the bank.

 

WE DO NOT CONFIRM RESERVATION
please mark your calendars

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