Georgetown University Learning Community Fall 2019 Registration Form
Please complete this form to register for courses, using one form for each participant. Asterisks mark required fields. Payment instructions can be found at the bottom of the form.

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Email *
An acknowledgment of your registration will be sent to the email address from which you are submitting this form.
First and Last Name *
Email *
Phone Number (Optional)
Course Selection: *
Required
Please note the following courses have been filled and are now closed:
Socialism in our Time?, Crossroads of Cultures: Themes in Russian and East European Art
The registration fee is waived for the following categories:
If any of the following fields apply to you, please mark the appropriate ones.  Otherwise proceed
*For membership dues, please contact the Association Treasurer, Mary Mahin, at mahinm@georgetown.edu
Mark whether you are the spouse of a member of one of these organizations: *
Payment Information
The registration fee is $30 for a single course, or $50 for two or more courses.

Make check payable to "GUARFS", and mail it to: Georgetown University Association of Retired Faculty and Staff (GUARFS) 3700 O Street, NW Box 571415, ICC Washington, DC 20057
Total Amount of Check *
A copy of your responses will be emailed to the address you provided.
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