Registration form for UW certificate program:
Genealogy and Family History 2008-2009 (Program ID# 2744)

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Return to program description

To register, please print, complete and mail this form with your required materials to the address below.

You may also register using VISA or MasterCard by telephone at 206-543-2310 or 1-800-543-2320.

Open Enrollment Process: To register, please complete and submit a registration form. Upon registering for the first-term course(s), you are considered a certificate program student who plans to participate in all courses of the program. Students are registered on a first-come, first-served basis until the program reaches its enrollment limit, or until 5 p.m. on the first day of class.

I wish to register for the UW Certificate Program in Genealogy and Family History.

Fees and Tuition
Genealogy and Family History #93712 (first course in program)	$612
Registration fee	$35
Certificate program fee	$50
Total enclosed	$697

Mr.    Ms.
Last name:
First name/middle initial:
Social Security # (required):
Date of birth:
Mailing address:
City/State/Zip:
Daytime phone:
E-mail address:

Method of payment:

	Check in U.S. funds made payable to the University of Washington. (Returned checks are subject to a $25 service fee.)
	Third-party payer: separate document (purchase order or letter of authorization to bill) must accompany this form.
	VISA
	MasterCard

Card number:
Expiration date:
Name as it appears on card:
Credit card billing address:
City/State/ZIP:
Signature: