College of Arts and Sciences Registration Form
 



Registration Form for Legacies

Name:
1st Line Address
City
State
Zipcode
Daytime Phone
Email Address
Registration
(includes lunch)
Friday - $35
Saturday - $35
Both days - $50
Late Registration Fee (applicable after Sept 19th)
Handicapped Access yes
no
Special Needs?
Payment options:
(we are unable to accept credit card payments online)
I am sending a check for the total amount today.
Please make checks payable to Lewis & Clark College and Send to: MSC 37, 0615 SW Palatine Hill Rd., Portland, Oregon, 97219-7899.

I will call you to pay by credit card 503-768-7207(Visa or MasterCard).

I will fax my credit card information 503.768.7205 (Visa or MasterCard)
Total Cost