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Summer Institute Registration

To attend the summer institute, download the Paideia Institute Registration Form, complete and mail it to: Augsburg University Paideia Program CB#312, 2211 Riverside Avenue  S., Minneapolis, MN 55454 . Questions can be directed to Anne Kaufman kaufman@augsburg.edu. Below is a sample registration form.

PAIDEIA INSTITUTE REGISTRATION FORM

Participant Information

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First and Last Name
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Home Mailing Address

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Email Address

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School and School District (if applicable)

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Grade and Subjects (if applicable)

Registration Fee (check one)

_____  $600 (Institute with 3 Continuing Education Units)

_____  $750 (Institute with 2 semester graduate credits)

Method of Payment (check one)

_____    Check enclosed, payable to Augsburg University – Paideia

_____    Credit Card charge (fill out the information below)

_____     Visa              _____     MasterCard

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Name on Credit Card

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Credit Card Number

Expiration Date (mm/yyyy) ______     CVV (3-digit Code on back)  _______

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Signature