Registration Form

Enroll in any CAPE course via this form. Fill it out, print it and fax to 214-768-1071 or mail to:

SMU Continuing and Professional Education (CAPE), PO Box 750275, Dallas, TX 75275-0275.

Name

Address

Street
City State Zip

Home phone

Work phone

Other phone

Fax

e-mail

For Informal or Professional Courses for Adults:
Course #	Course Title	Section	Cost

Program

Course, Location, and Section

Graduate Exam Preparation

Financial Planning (CPFP)**

$50.00 Enrollment Fee - One time fee must be paid with first course registration

Did someone refer you to the SMU program?

Please share his/her name (so that we may thank him/her)________________________________

Are you a member of the FPA or TSCPA? Member number_________________________

Pay amount:

Confirmation by:

E-mail U.S. Mail Both

Payment method:

Check (payable to SMU) Check #

MasterCard Visa Discover Diner's Club

Credit card #

Exp.

Cardholder

Comments: