Osher Lifelong Learning Institute: Event Registration: California State University, East Bay Continuing Education

Home : Courses : Osher Lifelong Learning Institute

Osher Lifelong Learning Institute

Event Registration

You may submit your registration online or by downloading a registration form (PDF, 52k) which you can print, complete and mail to the OLLI at CSUEB office.

For registrations submitted online, please print your confirmation page and mail it in with your payment.

*Denotes required field

*First Name:
*Last Name:
Guest First Name:
Guest Last Name:
*Address:
*City:
*State:
*Zip Code:
*Phone:
*Email:
OLLI Member:
	Please sign me up to receive the OLLI at CSUEB monthly e-newsletter.
	Please send me OLLI at CSUEB program materials by mail.

Event Name / Location	Qty.	Price Each
First Event Name	Quantity for First Event	Price per Person for First Event$
Second Event Name	Quantity for Second Event	Price per Person for Second Event$
Third Event Name	Quantity for Third Event	Price per Person for Third Event$
Fourth Event Name	Quantity for Fourth Event	Price per Person for Fourth Event$
Fifth Event Name	Quantity for Fifth Event	Price per Person for Fifth Event$
Please do not enter a dollar sign in the Price column. Your fees will be totaled on the following page. Enter a zero (0) for all quantities and prices where you have not entered an event.