Form for rebate - Please print

Open enrollment in July for the following classes:

All classes are worth 3 graduate credits from Antioch University or 30 CEU hours. (Antioch University Seattle is accredited by the Commission on Institutions of Higher Education of the North Central Association of Colleges and Schools, 30 North La Salle St. #2400, Chicago, IL 60602-2504. Antioch has held accreditation continuously since 1975. )

To receive your rebate, sign up for any class before July 31, 2011.

You also need to print this form before July 31, 2011. On August 1st, this page will be deleted once the offer is no longer available, so make sure you print it before that date.

You can send in the form any time after you have completed the course!

Full Name:

Date enrolled in the class: (This date must be before Sunday, July 31st 2011)

Name of the class:

Where would you like the check mailed?

Mail this all to:

Sacha Luria
Luria Learning - rebate
213 N Mason St
Portland, OR 97217

PS Remember to include a Self Addressed Stamped Envelope. Thanks!