Online Registration Form

Fill in the fields below and press the Submit button at the bottom of the page to send your registration request to the Longboat Key Education Center.  The brochure is displayed to the right.  Use the scroll bars to navigate through the list of programs.  Please note that you will not be considered registered until we receive the registration fee for the programs you wish to take.  If you have any questions, just call us.  Thank you!

Before Registering, click here for the latest updates on course availability.  
Click the button to view the brochure in a new window.................................... 

 
Name:
 
Florida Address:
Unit # Telephone:
City/State/Zip:
  Cell Phone:
 
Northern Address:
Unit #   Telephone: 
City/State/Zip:
  Cell Phone:
 
E-Mail Address:

Which address are you at in September? Florida  Northern

Are you a 2009-2010 Friends Member?  Yes  No

I want to become a Friend today! (details)      Dues $

PROGRAMS (Fees are listed in the brochure.)

Lecture Series 2010  
(All 12) LS1 LS2 LS3 LS4 LS5 LS6 LS7 LS8 LS9 LS10 LS11 LS12

  Fee $

Cocktail Hour Series 
(All WF18 )  WF15 WF16 WF17  

  Fee $

Sunday Salon Series  
SA1 SA2 SA3 SA4

  Fee $

Tuition fees are listed with course descriptions in the brochure.  Course codes appear to the left of the course titles.

Course Title(s) Code Fee

$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$

  GRAND TOTAL  $

Please make checks payable to The Longboat Key Education Center
5370 Gulf of Mexico Drive, Suite #212 *  Longboat Key, Florida * 34228 * 941-383-8811
e-mail: info@lbkEducationCenter.org

Questions or comments?

 
Please click the submit button only once.  
Then wait for the acknowledgement page to appear to be sure your registration request has been sent successfully.

 

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