Ferguson Center

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Ferguson Discovery Series On-line Form

All enrollments will require payment within five (5) business days of registration. All payments must be brought to the Ferguson Center—Room 356 from 8:00 am to 5:00 pm. Acceptable payments include Cash, Check, or credit card. Credit card payments may be processed in person or by calling 348-4536. Refunds will be issued only when a class is cancelled due to insufficient enrollment. If you have any questions please contact us at discovery.series@gmail.com. Thank you.

Personal Information

Prefix:
Name:
Address:
City:
State:
Zip:
Daytime Phone:
Evening Phone:
E-Mail Address:
University Status:	Full-Time UA Student ID# Part-Time UA Student ID# Faculty/Staff Community Partner General Public

Class Information

Class #	Title	Fee $
Class #	Title	Fee $
Class #	Title	Fee $
Class #	Title	Fee $
		Total $

Other Information

How did you find out about the leisure-learning classes?
Schedule mailed to home
Newspaper article
Friend
Employee
Flyer in mail
Radio
Poster
Other (please specify):

Please make check payable to The University of Alabama. Do NOT include supply fee; you will pay them to the instructor at the first class.

We will send you a confirmation letter, including the location of classes, and class supply lists, upon receipt of your paid registration.

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