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CONTINUING & PROFESSIONAL EDUCATION UNIVERSITY OF MASSACHUSETTS AMHERST CREDIT CLASS ELECTRONIC DROP FORM Semester:  Year:

Name     LAST NAME FIRST NAME INITIAL   UMASS ID  Mailing Address     SSN  Number    NUMBER & STREET      CITY STATE   ZIP   OIT/UMail E-mail:  Non-OIT E-mail:     Area Code   If No Phone, Write "None"

Drop/Withdrawal  1   Class No.      Department   Cat. No.   Section Title   Lab Section   Section     Class No.   Discussion Section   Section     Class No. University Class CPE Class   2   Class No.      Department   Cat. No.   Section Title   Lab Section   Section     Class No.   Discussion Section   Section     Class No. University Class CPE Class

Check this box to confirm your intention to drop/withdraw from the above class(es). To add a class see options under Registration Info at www.umassulearn.net. Refunds for dropped classes are based on the date of the drop. Please refer to the refund schedule. The registration fee is non-refundable.