Winter 2017 registration form

Page 1

2017 Winter Term Registration OLLI West Are you a member of: OLLI Central?

OLLI South?

NAME_________________________________________________ ADDRESS_______________________________ CITY_______________ ZIP_________ PHONE___________________EMAIL_______________________________________ Check if: New Address

New Email

New OLLI Member

PLEASE READ:   

Some classes require additional fees for materials. The catalog class description will note if a fee is required. The catalog specifies which classes the fee is to be paid to the facilitator rather than to OLLI. If this is a mixed site registration, and fees are due for classes at the other sites, send the class fee to the applicable site.

Class #

OLLI Location

(Only West has class numbers)

Class Name – list in order of preference

Check(s) Enclosed:

Day

Fee

West

Central

South

CHECK #

TUITION/MEMBERSHIP

$ 130

TOTAL OTHER FEES PAYABLE TO OLLI

TOTAL AMOUNT OF FEES

A separate check for fees is required.

$

Please make checks payable to OLLI West and mail to:

OLLI WEST 12081 West Alameda Pkwy, #436 Lakewood, CO 80228

Volunteers are the fuel that sustains this extraordinary learning opportunity. Get involved! Make new friends! Make a difference! Become a classroom assistant for one of the classes you have chosen to take!

YES!! I want to be a Classroom Assistant for one of my classes:


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Winter 2017 registration form by OLLI at DU - Issuu