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 to the instructor in the first session of this course. Fees are to be paid by cash, check, credit card or financial aid in UTPB Accounting Office in room MB 1220. Make checks payable to UTPB Continuing Education Department. When paying please reference account number 1930004595. The fees schedule is $100.00 for current UTPB students (full or part time) and $500.00 for non-students.


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Phone Number (with area code)
UTPB ID Number (for students)
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Please turn in this completed form and a copy of the receipt for payment of course fees to the instructor in the first session of this course. Fees are to be paid by cash, check, credit card or financial aid in UTPB Accounting Office in room MB 1220. Make checks payable to UTPB Continuing Education Department. When paying please reference account number 1930004595. The fees schedule is $100.00 for current UTPB students (full or part time) and $500.00 for non-students.