Personal Information


First Name: __________________________

Last Name: __________________________

Address: ________________________________

City: ___________________________________

Province/State: ________________

Postal/Zip Code: ___________

Country: ________________________

Home Phone: ( ____ ) ____-_______

Home Fax: ( ____ ) ____-_______


Business: __________________________

Address: ________________________________

City: ___________________________________

Province/State: ________________

Postal/Zip Code: ___________

Country: ________________________

Title/Position: ____________________

Business Phone: ( ____ ) ____-_______

Business Fax: ( ____ ) ____-_______

Email: ________________________________
<

Course(s) (check one or more… )

  Summer 2012 Course Offerings
Courses will begin on Monday,  May 7, 2012
Introduction to Plant Identification

TUITION FEE

Early bird fee - register before April 6, 2012 - $595.00

Regular Fee – registrations received after April 6, 2012 - $645.00

 

Payment Information

Tuition: $ __________

OOL Bursary Donation*: $ __________

Total Enclosed: $ __________
     
Cheque/Money Order
*(
Payable to the University of Guelph)
Card #__________________________________________
Visa Cardholder: _______________________________
Master Card Expiry: ____ /_______ (mm/yyyy)
American Express Signature: ______________________________________
Alumni Discount Code:______________________________________

Please Note: The Alumni Code is updated each year and is required at the time of registration to obtain the discount. See https://olcnetwork.com/olcnetwork/?portal=32 or call Alumni House at 519-824-4120 ext. 56934 to obtain the current code.

 


Please print a copy of the Registration form and fax to:

519 767-1114 or 519 824-1112

Or mail to:

Office of Open Learning
160 Johnston Hall, University of Guelph,
Guelph, Ontario.
Canada N1G 2W1

If you have any questions, please contact the Office of Open Learning at 519 767-5000 or send an email to info@open.uoguelph.ca


We are committed to protecting your privacy. Personal information that you provide to the University is collected pursuant to the University of Guelph Act (1964). The personal information collected on this form will be used for registration purposes, for creating learner profiles and for sending you relevant Open Learning information we believe may be of interest to you. For further information or to find out how to opt out of receiving future Open Learning information, call us at 519-767-5000 or visit:http://www.open.uoguelph.ca/privacy.aspx

 

* Staff and friends of the Office of Open Learning (OOL) have established and contribute annually to a bursary fund to assist students in need. We invite you to consider making a contribution to this fund. If you wish, add your donation amount on the registration form. For further information visit: www.open.uoguelph.ca/bursary