German Language and Culture Institute

Your name:

_________________________________

Address:

_________________________________

_________________________________

If you attend this course with another person, 2nd Person's Name:

_________________________________

2nd Person's Address (if different from above address)
_________________________________

_________________________________

Telephone & e-mail:

_________________________________

_________________________________

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No refunds or discounts for late enrollment, early withdrawal, or missed classes.

For which class do you wish to register?

___ German 1-A1 (TUE)  

___ German 4-A1 (MON)

___ German 4-A2 , low advanced (WED)

 Registration Fee per Person

Tuition: $170/per person

Payment:
Check #____________    

Total: $____________
A receipt for your payment is handed out during the first class meeting.

Send this registration with your payment to:
Antje Carlson / Adult German Classes
11710 Pinto Cir.
Anchorage, AK 99516