Home > Enrollment Agreement

You can send us your Enrollment online. Your seat will be reserved much faster.
Once we receive your registration, we will contact you for further instructions.

If you would like to fill out the form in Spanish, please click here.

Online Enrollment Agreement <ESL Course Full Time>

Student Information

First Name
Middle Initial
Last Name
Gender Male Female
Nationality
Street Address
City
State
Country
Zip Code  
Home phone number
Date of birth (mm/dd/yy)
E-mail   

Registration

<Please check number of weeks you would like to register>

Morning Class (Mon to Fri, 5 days in a week)
Afternoon Class (Wed, Thurs, Fri and Sat, 4 days in a week, Sun to Tue No class)

ESL
Wks
Hours
Original
Tuition
Discount
rate
Discount tuition fee untill the end of campaign
Registration fee
Tuition fee
Total
ESL Course
4
72
$840
----
$30
$810
$840
ESL Course
8
144
$1,400
10%OFF
$100
$1,170
$1,270
ESL Course
12
216
$2,035
30%OFF
$100
$1,355
$1,455
ESL Course
16
288
$3,110
40%OFF
$100
$1,806
$1,906
ESL Course
20
360
$3,863
$100
$2,258
$2,358
ESL Course
24
432
$4,615
$100
$2,709
$2,809
ESL Course
30
540
$6,340
$100
$3,744
$3,844
ESL Course
36
648
$6,873
$100
$4,064
$4,164
ESL Course
42
750
$8,004
$100
$4,743
$4,843

Start Date;

Payment method
 Check (Payable to PCTECH)
Cash
Visa
Master
Amex
Payment by wire transfer from foreign bank account

Housing Option -Do you need accommodation?-

No
Yes, YMCA Dormitory ( weeks YMCA Flushing YMCA Vandarbilt)

Student Visa -Do you need student visa(I-20)?-

No
Yes

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 I had read the Cancellation and Refund policy, by my signature, I agree to the conditions of this agreement.
Student signature