German Language
    & Culture Institute

Class Registration Fall 2010

Your Name
______________________________________________________________________________

Your Address:
______________________________________________________________________________

If you attend this course with another person, 2nd person's name:
______________________________________________________________________________

2nd person's address, if different from yours:
______________________________________________________________________________

Telephone & e-mail for you and the 2nd person:
______________________________________________________________________________

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

Classes:
_____ German 1 (Beginner):
Tuesdays; 7-9pm

_____ German 3: Wednesdays, 7-9pm

_____
 Intermediate-A2 >> Mondays; 7-9pm

Registration Fee per Person: $150/per person  

Payment / Check# ________________
   Total $ Amount: ________________

A receipt for your payment is handed out during the first class.

                   Send your registration and payment to:

                           Antje Carlson / Adult German Classes
                                         11710 Pinto Circle, Anchorage, AK 99516

                                                                   
Danke und herzlich Willkommen!             
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