CONTINUING EDUCATION, SCHOOL OF SOCIAL WORK, DALHOUSIE UNIVERSITY
Surname First name
Organization
Position/Title/Discipline
Address
City/Town Postal/Zip CodeProvince/State
Email Work Phone Home or Cell Phone
Course(s) you are registering for
Method of Payment:
Cheque or Money Order (make payable to DALHOUSIE UNIVERSITY)
Credit Card
THIS IS A FILLABLE FORM.
Please download, complete, and save the form and email to coned@dal.ca, or print and fax to 902.494.6709.
If you have any questions, please call Karla at 902.494.6899.
Credit Card
MAILING ADDRESS:
Continuing Education, School of Social Work
Dalhousie University
Suite 3201-1459 LeMarchant Street
PO Box 15000
Halifax, Nova Scotia, Canada B3H 4R2
Please phone 902.494.6899 with yo
ur credit card details