REGISTRATION FORM

Language Institute of Atlanta (770) 730-0000 info@atlantalanguage.com

In order to confirm your registration, please make a payment by sending by mail or fax the registration form , call us with a credit card number or stop by the institute. Classes filling up fast, we advise you to register far in advance.

Note the class information (Date - Time - Price - Language - Level) from the site and fill them in the form. You will be contacted in order to confirm your registration (do not forget your phone number and/or email)

You may pay by cash, check or credit cards. Credit card payment can be made by fax (877)733-0171, by phone or at the institute. We accept VISA, MASTERCARD & AMERICAN EXPRESS.

If you would like to send your form by mail or fax please click here:

PRINTABLE REGISTRATION FORM

PRICES:

$250: 10 hours group for children

$299: 15 hours group for children (1.5 hour per session)

$280: 20 hours group for adults - EVENING ENGLISH - SPANISH

$299: 20 hours group for adults - FRENCH - ITALIAN - RUSSIAN - PORTUGUESE

$350: 20 hours group class for adults : CHINESE - GERMAN - JAPANESE

$399: 20 hours group class for adults : ARABIC - THAI - KOREAN - URDU - SWAHILI - MODERN GREEK - URDU - FARSI - SWEDISH - DANISH - CZECH - DUTCH - POLISH

Student Information

      First Name 
       Last Name 
           Title 
  Street Address 
 Address (cont.) 
            City 
  State/Province 
 Zip/Postal Code 
         Country 
      Work Phone 
      Home Phone 
             FAX 
          E-mail

How did you know about the Institute?

ex: Internet - Google search engine
Group type:

ex: Group I 2 hours / week - 10 weeks $280
Private lesson

only if you take a private lesson
How many private lesson hours?

ex: 10 hours
Total cost:

ex: $280.00
Language selected:
```
    LANGUAGE            ex: SPANISH
```

Level:

    Level of your class  ex: BEGINNER 101

Starting date:

-- mm/dd/yy
Ending Date:

-- mm/dd/yy
Time of the class:
Day(s) of the class:

REFUND POLICY

Due to our flexible schedules and our competitive prices, it is not possible to give you a refund after the date you register. Group classes may not be canceled, transferred or rescheduled.

Twenty-four hour notice is required to reschedule or cancel a private or semi-private class, otherwise full payment of the class will be charged. Fee paid for private lessons cannot be refunded.

Classes or Private lessons canceled by the Institute may be refunded.

If your check is returned your account may be electronically debited for the full face value and any applicable fees .

REGISTRATION FORM

Language Institute of Atlanta, Inc.Copyright © 1998 [Language Institute of Atlanta, Inc.]. All rights reserved. Revised: December 27, 2012

Language Institute of Atlanta, Inc.
Copyright © 1998 [Language Institute of Atlanta, Inc.]. All rights reserved.
Revised: December 27, 2012