Spring 2010 Noncredit Registration

To register for noncredit professional development or CEU credit, please do one of the following:

1. Register with a credit card by calling UNL's Center for Applied Rural Innovation (CARI) at (800) 328-2851.

OR

2. Register by mailing in this completed form, along with your payment in the form of check or money order, payable to the University of Nebraska-Lincoln.  Mail to:  Cathy Dickinson, Dept. of Agronomy & Horticulture, UNL, 279 Plant Sciences Hall, Lincoln, NE  68583-0915.  If you have any questions, please e-mail cdickinson2@unl.edu or phone 402.472.1730. 

Please Check One:

	Please enroll me in the course(s)/workshop(s) I've checked below as a noncredit professional development participant.
	Please enroll me in the course(s)/workshop(s) I've checked below as a CEU-credit participant.
	My CCA number is ____________________.

PLEASE ENROLL ME IN THE FOLLOWING COURSE(S)/WORKSHOP:

Register early and save money! For most courses, register at least one week before the start of class for a discount.

Advanced Plant Breeding Topics:  March 3 - April 8, 2010.  Registration Fee:  $150

Student Information (Please Print):

Name: __________________________________________________________________________

Address: ________________________________________________________________________

City: ________________________________ State: __________ Zip: _______________________

Daytime Phone: (______) ____________________E-mail:_________________________________ 

University of Nebraska Employees Only:

I hereby authorize you to charge the above course/workshop fee(s) to the Cost Object Number listed below.

UNL Cost Object Number: _____________________________________________________

Signature: __________________________________________________________________