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SUSLA Summer 2020 Registration Form
Name (print)
Address
City State Zip Code
Home Phone Cell Phone
Email Address
Date
CE Courses and Camp(s)
Date(s)
Fee(s)
How did you learn about the course(s) for which you have registered?
Method of Payment (check one) personal check money order
Register & Pay online: http://www.susla.edu/page/continuing-education
Register by Mail Send Payments (check or money order) or To Register in Person:
Southern University at Shreveport
Department of Continuing Education, C/O
Cashier’s Window
3050 Dr. Martin Luther King, Jr. Drive
Shreveport, LA 71107
Leonard Barnes Administration Building
Cashier’s Window
3050 Dr. Martin Luther King, Jr. Drive
Shreveport, LA 71107
“Your Opportunity Starts Now!
Total Amount Enclosed: $
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