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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.

Online Enrollment Agreement
<Winter/Summer period 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>

I would like to register ESL class for ( Summer period Winter period )

ESL Class Period;

ESL
Wks
Registration
fee
Textbook
fee
 Tuition fee
Housing fee
 Total
Course A
Summer ESL Only
(No housing )
2
$30
$5
$370
$0
$405
4
$30
$10
$600
$0
$640
6
$30
$15
$765
$0
$810
8
$100
$20
$1020
$0
$1140
Course B
Summer ESL +
Housing in Manhattan
2
$30
$5
$370
$560
$965
4
$30
$10
$600
$1120
$1760
6
$30
$15
$765
$1680
$2490
8
$100
$20
$1020
$2240
$3380
Couse C
Summer ESL +
Housing in Queens
2
$30
$5
$370
$350
$755
4
$30
$10
$600
$700
$1340
6
$30
$15
$765
$1050
$1860
8
$100
$20
$1020
$1400
$2540

Start Date; (mm/dd/yyyy)

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