The University of Texas of the Permian Basin

Please turn in this completed form and a copy of the receipt for payment of course fees in the Continuing Education Office on the fourth floor of UTPB MESA Building. Fees are to be paid by cash or credit card in UTPB Accounting Office. If payment cannot be made with a credit card or cash, checks are acceptable. Make checks payable to UTPB Continuing Education Department. You can also pay by phone at (432)552-2555 or (432)552-2706. The fee is $100.00 for current UTPB students (full or part time) and $500.00 for non-students.


(* Required)  
Name
Address
Email Address *
Phone Number (with area code)
UTPB ID Number (for students)
Current Position (if any)
Work Address (if any)
 

Please turn in this completed form and a copy of the receipt for payment of course fees in the Continuing Education Office on the fourth floor of UTPB MESA Building in room MB 4207. Fees are to be paid by cash or credit card in UTPB Financial Services office on the first floor of the UTPB MESA Building in room MB 1220. If payment cannot be made with a credit card or cash, checks are acceptable. Make checks payable to UTPB Continuing Education Department. When paying please reference account number 1902002095. You can also pay by phone at (432)552-2555 or (432)552-2706.