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Certification Program Registration Summer 2008
Last Name: First Name: Address: City: State: Zip: Day Phone: E-mail:
Category: Personal Enrichment (non-certificate) Certification Candidate
Audit - by checking this box, no credit will be earned for the selected courses.
Payment Instructions:
Tuition: $100 per course
Enter the total amount you wish to pay now: $
Only If your parish is to be billed, please complete these fields: Parish: City:
If mailing registration, send with payment to: St. Bernard's School of Theology and Ministry Ellen Morningstar, Registrar 120 French Rd. Rochester, NY 14618
St. Bernard's School of Theology and Ministry 120 French Road Rochester, NY 14618 Phone: (585) 271 - 3657 Fax: (585) 271 - 2045
Albany Extension Site 40 North Main Avenue Albany, NY 12203 Phone: (518) 453 - 6760 Fax: (518) 453 - 6793