Registration Options
Register using the online registration form or you may print and mail or fax a registration form. If registering as a group, please submit a separate form for each participant. Registrations must be made at the same time to qualify for group rates.

Pre-registration
Pre-registration is required for all courses.

Cost
All "Weapons of Mass Destruction Awareness Training" workshops are made possible by a grant from the State Emergency Management Agency.  There is No Cost to individual participants for the workshop or materials.

Post CEUs are available for all training workshops.

 Please complete all fields of this form. (* Required Information)

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Personal Information
First Name*      MI      Last Name*
Social Security No.:
Street Address:*
City:*        State:*   Zip:*
Day Telephone:*     Evening Telephone:
Fax Telephone:	E-Mail :
Company Information
Company Name:
Street Address:
City:          State:    Zip:
Class Information
Course Name:*   To choose more than one course hold down the CTRL key No Courses Currently Available  None
I understand that after submitting this form I will receive confirmation that my form has been received  and will receive a written confirmation by mail from Office of Continuing Education.

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Need to mail or fax the form in?  Use the following options.
 Print this form, complete the information and circle those trainings you'd like to attend.

Mailing Address:
Southeast Missouri State University
Office of Continuing Education
One University Plaza, MS6850
Cape Girardeau, Missouri 63701

Fax #: (573-986-6883) -- open 24 hours

If you have any problems filling out the on-line registration form, please contact the Office of Continuing Education at 573-986-6879 or e-mail coned@semo.edu

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Contact webmaster:   Continuing Education Copyright © 2004 Southeast Missouri State University. All rights reserved. Revised: May 02, 2006 .