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Spring & Summer Courses 2010 Arts, Business & Science Registration Form The student is responsible for the completion and accuracy of this form. Contact Information First Name: ____________________ Middle Initial: _____ Last Name: _____________________________________ Address: ____________________________________________ City: _______________________ Province: _______ Postal Code: __________________ Phone: __________________________ Student #: _________________________ E-mail: __________________________________ Date of Birth: _____________ Program: _____________________ Registration Information List all courses for which you are registering Course Number

Course Title

Course Start Date

(i.e. MT2013A)

Tuition fees must be paid prior to the start of classes. Please contact the Finance Office to make payment arrangements. Students are responsible for contacting the Registrar’s Office to make changes in registration. Changes to course registration can be made during the first 6 hours of scheduled class meetings. Students withdrawing before completion of 12 hours of scheduled class meetings may be eligible for partial refunds. Please contact the Finance Office to make the necessary arrangements. No withdrawals will be accepted after 21 hours of scheduled class meetings. Registration is limited to a maximum of 4 courses for the Spring Semester.

Student Signature: ____________________________________________ Date: _______________________________

For more information dial (506) 858-8970, toll free at 888-968-6228 or email Registration forms can be faxed to 506-858-9694 or mailed to the address below: Crandall University Attention: Office of the Registrar PO Box 6004 Moncton, NB E1C 9L7

Registration Form - Spring & Summer 2010