University of Missouri Extension
       East Central Missouri Region

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Pre-Registration Form
 
Home Registration-Class Schedule  Brochure Financial Institutions

Registrations must be received one week prior to the class you are choosing to attend.

$40 Individual      $60 Couple opening a joint account
  q Cash - payment must be made in person   q Money order

Make non-refundable* payment to University of Missouri Extension Council.
 
Name
Address
City, ST, Zip
Home phone Work phone
Class number Dates

*Cancellations will receive a future class credit to be used within one year.

If you need special accommodations because of a disability or if you need materials in an alternative format, please call 636.970.3000.
 
How did you hear about the Get Checking program?


q Bank (Bank Name) _________________

q Friend

q Agency (Agency )__________________

q Other ____________________________
 
 
Return to main East Central Missouri Region page
University of Missouri Extension   East Central Regional Director's Office
Bud Reber, Regional Director
Page Maintained By: Carol Grote
Last revised: 01/30/08

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