-------------- Registration Information (ascii version) -------------------

	   Master Preparation II, Feb 7-May 15, 1996, UMBC

Please fill out and return by February 2, 1996.

It is recommended that you register at least 10 days before the first class
to allow time for confirmation and parking permits to be sent to you.
You are not officially registered until payment has been received.

There are four easy ways to register:

1. Telephone (410) 455-2336 with VISA or MasterCard Information

2. Fax (410) 455-1074 with VISA or Mastercard information, or with
company purchase order (PO)/billing authorization.

3. Mail your registration form long with check, credit card information or company
PO/billing authorization to Continuing Education, UMBC,
5401 Wilkens Avenue, Baltimore, MD 21228-5398

4. E-Mail your registration with VISA or Mastercard information to
virden@umbc.edu

---------- Registration Form (Master Preparation) ----------------------

Name:

Address:

City, State, Zip:

Telephone:

Email:

SSN:

USCF Rating:

Age:

Affiliation:   

Chess clubs you attend:

Amount enclosed (make checks payable to UMBC):

Method of Payment: Check, VISA, MasterCard, Company Purchase Order (PO)*
[*PO must include PO number and contact person authorizing PO.]

Credit Card Number:

Credit Card Expiration Date:

Comments: