Spanish Language Center

registration

 

Intensive Weekend Class Registration Form

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 two options for further flexbility.

1st Choice: , at
2nd Choice: , at

Class Location

Where would you prefer 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:

Check here to acknowledge the terms of registration:

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.

 

Home  |  Spanish Classes  |  Translation Services  |  Interpreting  |  Locations  |  Contact Us

Spanish Language Center, Inc. Copyright © 2001-2007 All rights reserved.