Spanish Language Center

registration

 

Private 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

Class will take place at this location

At which of our Chicago locations do you prefer to take your classes? Or do you prefer onsite? Please mark your preference.

*If onsite, tell us where:

NOTE: Onsite classes may require an additional (but reasonable) fee for our instructor's traveling time. We will let you know if this fee is required.

 

Preferred Starting Day, Date and Time

Please include a first and second option of day, date and time.

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

Class Tuition

Please choose tuition info from only one of the following columns and select the corresponding amount:

Lakeview Downtown / Palatine
Tuition:

Private classes are $480 for 12 hours of private, one-on-one instruction tailored specifically to your needs and go at your pace of advancement.

Tuition:

Private classes Downtown or at Palatine are $540 for 12 hours of private, one-on-one instruction tailored specifically to your needs and pace of advancement.


Your Payment Info

Please enter the information here:

Card Type:


Card #:


Expiration Date: [mmyy]


Billing Zipcode:



Policies about 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 marked above.

 

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