Clarion Folk College 2003

Please fill out and print this document and mail or email it to the addresses listed at the bottom of this page.

Name:
Address:	Street: City, State, Zip:
Telephone:
Email:
Instrument(s):
Level:	Beginner Advanced Beginner Intermediate Advanced
Clarion Folk College Fees:	$100 (Postmarked on or before April 11, 2003)* $125 (Postmarked after April 11, 2003) $50 CUP Faculty and Staff $25 CUP Student
Please check accommodations:	I will find my own accommodations I will be staying in a dorm room at Clarion University - $15 per night, per person (double occupancy) I will be staying in a dorm room at Clarion University, and prefer to have no roommate. My room fee will be $30 per night.
If staying in dorms, please check roommate preference:	My roommate will be I do not have a roommate preference
I am:	male female
I prefer:	smoking non-smoking
Payment Type:	Check Cash Credit Card
	Check Number Visa Mastercard Discover
Make checks payable to:	Clarion University of Pennsylvania
Credit Card Number:
Expiration Date:

Signature:	___________________________________________________________

Registrations may be called in to 814-393-2227, faxed to 814-393-2741, or e-mailed to kstiglitz@clarion.edu, as well as mailed to:

Division of Continuing Education
Clarion University of PA
210 Still Hall
840 Wood Street
Clarion, PA 16214-1232

*Payment must be received for all registrations by the dates indicated in order to receive registration discounts. Registrations without payment will not secure the early rates.

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