Application for Enrollment
Print this form and mail or fax the completed form to the Modern Archives Institute.
| APPLICATION FOR ENROLLMENT (Please fill in completely) | |
|---|---|
| Please circle session preference: Jan. 26-Feb. 6, 2009 or June 1-12, 2009 Name____________________ (Indicate name as desired on course completion certificate.) Position__________________ Employer_________________ _________________________ Office Address: _________________________ _________________________ _________________________ Phone (office)___________________ (home)___________________ Fax______________________ E-mail___________________ |
Payment of $710 must be received between October 1 - December 1, 2008, for the winter institute. Payment
for the summer institute must be received between October 1, 2008 - April 1, 2009. (Applications sent before October 1 should not include
checks or credit card information. Those applications should be resubmitted between October 1 and the payment deadline, this time including the payment.)
Until the deadlines, spaces may be tentatively reserved without payment.
Credit card payments will be charged upon receipt.
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