In order to register we need the following information: Please fill out one form per
person.
BY MAIL: Print out the provided registration form. Complete
the registration form and make a check or money order payable to "CFU"
Mail it to: Colorado Free University
7653 East 1st Place
Denver, CO 80230
BY FAX: Print out the provided registration form. Complete the registration form, include your Mastercard, Visa or Discover card number and expiration date, or corporate billing information, sign the form, and fax it to: (303) 399-0477
If corporate billing: Current members only; See Corporate Account Information
Please note:
You will not be registered until payment is received. You will receive
confirmation either by phone or mail within five business days. Class space is limited and
registrations are accepted in order received. We recommend you call the Registration
Office at (303) 399-0093 or (800) 333-6218 to verify availability prior to registering.
| Student's Full Name: | ___________________________________ |
| Address: | ___________________________________ |
| City: | ___________________________________ |
| State: | ___________________________________ |
| Zip: | ___________________________________ |
| Phone Number (Home): | ___________________________________ |
| Phone Number (Work): | ___________________________________ |
| Fax Number: | ___________________________________ |
| Email Address: | ___________________________________ |
| Course Name: | ___________________________________ |
| Course # | ___________________________________ |
| Tuition: | ___________________________________ |
| Membership (if applicable) |
___________________________________ |
| Spanish materials fee (if applicable: | ___________________________________ |
| Total Due: | ___________________________________ |
| Payment Method (Circle One): | Check Visa MasterCard Discover |
|
Net-30 (for approved business accounts) |
|
| Check (if mailing form)#: | |
| Card#: | ___________________________________ |
| Expiration date: | ___________________________________ |
| Signature: | ___________________________________ |
| Name as it appears on card: | ___________________________________ |
Save money for a year on classes and purchase a membership membership by selecting from the following:
Family/Group Membership: $50
Annual Individual Membership: $25
Corporate Membership (complete Corporate Application required) $60
I