REGISTRATION FORM
Please fax 805/965-5687 or post this form including the registration fee.
(you must be 18 years of age or
older, EXCEPTION: summer special programs)
If you register less than 2 weeks
before your chosen date please email us for
availability of class space.
Name_______________________________
Country_____________________________
Birthdate____________________________ Gender___M___F
Date of class you choose________________ English level__________________
Registration fee (non refundable) is $50 & must be faxed 805/965-5687 or posted with this form (it is part of the total cost of $860).
Choose Payment Method:
Visa#____________________(x date)________
MC#____________________(x date)_______
____Traveler’s Checks - if posting ($US)
If you prefer to post travelers checks ($US) please send to:
AECP
Dr.Carl Hightower,Director
528 Brinkerhoff Ave.
Santa Barbara, CA 93101
THANK YOU FOR CHOOSING AECP CLASSES ---- WE LOOK FORWARD TO YOUR ARRIVAL
