Spanish Language Center :: Registration

registration

Student Info
Last Name
First Name
Address 1
Address 2
City
State:
Zipcode
Phone 1	Home Work Cell
Phone 2	Home Work Cell
Email Address
Occupation
Preferred Class Date Please include a second option if available.
1st Choice:	, at
2nd Choice:	, at
Class Location Where would you like to take your classes? If onsite, indicate exact address. An addtional (and very reasonable) fee may be required for instructor's traveling time. We will let you know if it is required.
Tuition Info Please select the option that best fits your need.
Your Payment Info Please enter your credit card info here: Card Type: Card #: Expiration Date: [mmyy] Billing Zipcode:
Policies regarding your Class and Registration Please carefully read the following: MINIMUM STUDENTS PER CLASS: If class has 3 or less students registered, it may be rescheduled. GIFT CERTIFICATE TRANSFER: In the card holder cannot use SpanishLC Gift Cetificate,, it is transferable to a 3rd party. Policies: Privacy, Refunds, Returns & Attendance (click here) I accept the Policies: Privacy, Refunds, Returns & Attendance:
By clicking *submit* I accept the above terms and authorize the Spanish Language Center to charge my credit card for the amount of the chosen Intensive weekend course.