Registration Form


	REGISTRATION FORM



			Print This Form


		Mail-In:

	Send registration form to: F/M Communiversity 901 8th St., South, Moorhead, MN 56562

Name _________________________________________________________________
Telephone (____)_______________________ E-mail____________________________
Address _______________________________________________________________
City ____________________________ State _______________ Zip ______________

Session # _________________________    _____________________________
        _________________________   _____________________________

         For group ticket orders, call (218) 299-3438      Total _______________

Contribution - Thank You!                            ___________________
Contributions toward the support of this program are appreciated.
          All gifts are tax-deductible.


		Phone-In:

	(218) 299-3438 Call Monday - Friday 8 a.m. - 5 p.m.


		Walk-In:

	Riverview Place Scilley Room 5300 12th Street, South Fargo, ND


		Drop-Off:

	F/M Communiversity 207 Outreach Center 12th Ave & 8th St., South Moorhead, MN Monday - Friday 8 a.m. - noon, 1 - 5 p.m.


	For more information, contact the F/M Communiversity office at (218) 299-3438, or Riverview Place at (701) 237-4700.


	Visit the F/M Communiversity web site at www.cord.edu/dept/fmcomm