GENEALOGY COLLOQUIUM
REGISTRATION FORM

June 9 - 14, 2019

Registration Deadline:   June 3, 2019

An asterisk(*) indicates a required field
REGISTRATION INFORMATION
Amount:    $300.00 Dates:   June 9 - 14, 2019
Registration deadline: June 3, 2019
Includes:   ALL Classes, Field Trips and Sunday Dinner


ATTENDEE INFORMATION
Male Female


Zip:*


Home Phone:


SURVEY QUESTION

PAYMENT OPTIONS

PAY WITH CHECK OR MONEY ORDER
Mail to:

ASU Division of Continuing Education
32 Commerce St.
Montgomery AL 36104

PAY BY PHONE
Credit Card Only
Please Call:   334-229-4686

PAY IN PERSON
Visit our office at:
Alabama State University
Division of Continuing Education
32 Commerce St.
Montgomery, AL 36104
Phone Number:   334-229-4686

SELECT PAYMENT TYPE
  Personal Check or Money Order Check/MO #   Credit Card
Make all checks and money orders payable to: ASU Continuing Education. Include drivers license, home and work phone numbers on check

TOTAL AMOUNT DUE: