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.

$50 Individual      $75 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

*If registered participant needs to cancel and notifies instructor, at least 24 hours before class, he/she 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  816-482-5862
 
How did you hear about the Get Checking program?


q
Bank (Bank Name) _________________

q Friend

q Agency (Agency )__________________

q Other ____________________________
 

 
 
 

Return to the West Central Missouri Regional Office Page


University of Missouri Extension West Central Missouri Region Director's Office
Al Black, Regional Director blacka@missouri.edu
Site maintained by Milly Carter, Administrative Associate carterm@missouri.edu 
Last modified April 10, 2008
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