Language School in New York

Language School Computer Studies in New York (NYC)

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Online Enrollment Agreement <Japanese Course>

First Name
Middle Initial
Last Name
Gender	Male Female
Nationality
Street Address
City
State
Country
Zip Code
Home Phone number
Date of Birth (mm/dd/yyyy)
Email *

Registration

	Wks	Hours	Original Tuition	Discount rate	Discount tuition fee untill the end of campaign
	Wks	Hours	Original Tuition	Discount rate	Registration fee	Tuition fee	Total
BITE Class	5	10	$220	$120 OFF	$30	$70	$100
Beginner Class	12	42	$720	$100 OFF	$30	$590	$620
Intermediate Class	12	42	$720	$100 OFF	$30	$590	$620

Start Date;

Payment method
Check (Payable to PCTECH)
Cash
Visa
Master
Amex
Payment by wire transfer from foreign bank account
Google secure server-online payment

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By my signature, I agree to the Cancellation and Refund policy.
Student signature

Please contact us to get more information. General questions