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!