Registration Form and Fees

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REGISTRATION FORM

MINNESOTA ADULT SPANISH ACADEMY

Please print out this form, fill it out, mail it with your check to address below. 

Please sign me up for the following course or courses:  (Check one or more.)

_____ Spanish U Can Use NOW

 Mondays, five weeks, beginning March 9, 2009.  

Please register by February 15.

Sign up and pay in advance for Spanish U Can Use Now:  Please check one:

Five classes                 $25.00 _____

Four classes                $24.00 _____

Three classes               $21.00 _____

Two classes                 $16.00 _____

One class                     $  9.00 _____

Textbook                     FREE

_____ Advanced Spanish

Tuesday, February 10 _____

Please register by February 1.

Tuesdays, five weeks beginning March 10, 2009 _____

Please register by March 1.

Six classes                   $54.00 _____

Five classes                 $50.00 _____

Four classes                $44.00 _____

Three classes               $36.00 _____

Two classes                 $26.00 _____

One class                     $14.00 _____

Textbook*                  $15.00 _____

_____   High Intermediate Spanish

 Wednesdays, five weeks, beginning March 11, 2009.

Please register by March 2.

Five classes                 $50.00 _____

Four classes                $44.00 _____

Three classes               $36.00 _____

Two classes                 $26.00 _____

One class                     $14.00 _____

Textbook*                  $15.00______

_____ High Beginning Spanish

 Thursdays, five weeks, beginning March 12, 2009.

Please register by March 3.

Four classes                $44.00 _____

Three classes               $36.00 _____

Two classes                 $26.00 _____

One class                     $14.00 _____

Textbook*                   $15.00_____

*If not already purchased in previous course(s).

Total amount enclosed for all courses and textbooks checked above:          $______________________

Please write check to:  MN SPAN ACAD

 Please read the Academy safety policy.  (To see full policy, please click on appropriate GREEN TAB on Home Page.) 

Please initial here:  I accept: _____ 

Name Printed: _______________________________________________________________________________

Signature:____________________________________________________________________________________

Address, City, State, Zip: ________________________________________________________________________ ________________________________________________________________________________________________

Phone Number: _______________________ Alternate: ______________________

Email address: _______________________________________________________(Please print clearly.) 

Please print out this form, fill it out, mail with your check to: 

Spanish Academy

540 127^th Ln NW

Coon Rapids, MN  55448

GRACIAS!! 

Registration Form and Fees