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Registration Payment ($250) & Plan Selection Form for 20132014 INSTRUCTIONS: PLEASE RETURN THIS FORM WITH THE $250 REGISTRATION FEE BY MAY 15, 2013. Student Name: (Last) (First) PLAN A (One Payment)

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Start by gathering all the required information and documents, such as your personal details, contact information, and any relevant identification or registration numbers.

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Begin filling out the form by entering your personal details accurately. This may include your full name, address, phone number, email address, and any other requested information.

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Registration payment 250 amp is a fee that must be paid for registration purposes.

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