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Spring 2012 REGISTRATIONYou may register online; by phone, fax, or e-mail; or via U.S. mail. Payment is due at time of registration. To Register:Online: www.pace.edu/cperegisterPhone: (914) 773-3714Fax/E-mail: Download the registration form at www.pace.edu/cperegister and fax to (914) 989-8451 or e-mail to ContinuingEd@pace.eduBy Mail: Send your completed registration and payment to Pace University, Continuing and Professional Education 163 William Street, Room 310 New York, NY 10038NAME DATE OF BIRTH HOME ADDRESS CITY STATE ZIP TELEPHONE (Office) (Home or Cell) E-MAIL Please Indicate Method of Payment:[ ] Private Education Loan (Please Indicate Lender Name ) [ ] Check/money order enclosed made out to Pace University[ ] Credit card [ ] Visa [ ] MasterCard [ ] Discover [ ] American ExpressACCOUNT NUMBER CARD EXPIRATION DATE SIGNATURE OF CARDHOLDER TODAY'S DATE COURSE NUMBER LOCATION (see page 20) TUITION NYC MT PLV WP $ NYC MT PLV WP $ NYC MT PLV WP $ NYC MT PLV WP $ TOTAL $ Refund and cancellation policy: Registrants who cancel their registration by the Wednesday of the week prior to the start of class will receive a full refund. No refunds will be granted after that date. Pace University reserves the right to substitute instructors, change the day or time a program meets, or cancel programs due to insufficient enrollment or unforeseen events. If a class is canceled, a FULL refund will be issued.First Middle Initial Last(optional)

Scan this to go to our website www.pace.edu/cpePace UniversityContinuing and Professional Education 163 William Street, Room 310 New York, NY 10038Continuing and Professional Education Work toward greatness.New Year's Resolution: Better Myself And My Career