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Registration Page: Stockton Institute for Lifelong Learning (SILL)

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* 1. Contact Information

Name:

Address:

City/Town:

State/Province:

ZIP/Postal Code:

Email Address:

Phone Number:

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* 2. Which SILL Four-Session Course do you wish to attend?

History of Play in America $45
March 6, 13, 20, and 27, 2020, 2:30pm-3:30pm
Stockton University Arts and Sciences Building Room 102
101 Vera King Farris Dr, Galloway, NJ

Reading Poems: Place, Magic, Persona $45
April 3, 10, 17, and 24, 2020, 2:30pm-3:30pm
Stockton University, Arts and Sciences Building Room 102
101 Vera King Farris Dr, Galloway, NJ

I would like to register myself for both courses ($5/discount - please pay $85.00)

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* 3. Optional: Additional Registrants: ($45 per person per course, or $85 per person for both courses.) Please add names below if you would like to register anyone else.

Register the Following for BOTH courses:

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* 4. Comments

Thank you and please remember to click the DONE/SUBMIT Button to complete registration. Prior to the course, you will be contacted by staff to confirm your registration and provide any other information you will need.

* We will be recording all course sessions. Should you be unable to attend a particular class session, the recording will be made available to you at a later date.*

Once you click the DONE Button and close the survey you will be redirected to Stockton's Secure Payment Portal where you can pay by credit card. (Or paste this link into your browser address window:
http://intraweb.stockton.edu/eyos/page.cfm?siteID=226&pageID=41&offc=scosa
and you will be taken to Stockton's secure payment portal).

If you are paying by check please click "Done" below, ignore the next screen (payment portal) and send total amount to:
SCOSA / SOBL
Stockton University
101 Vera King Farris Drive, Galloway, NJ 08205