Spanish-American Institute 215 West 43 Street, Times Square, New York 10036-3913 voice: 212-840-7111 info@sai2000.org fax: 212-719-5922

Paul Schiffman, Dean of Student Services paul@sai2000.org

Enrollment Information Form Please answer all questions

Mr.		Ms
First Name
Last Name
Number, Street, Apt
City
State:
Zip code:
Country:
Date of birth (mm/dd/yyyy):
Country of birth
Nationality
Telephone
Fax
e-mail:

Course Information

Please consider me for enrollment in Full-Time ESL-Plus for the Session length checked below:

Session Duration

Total Tuition

Advance

Deposit

3 months

US$ 840

$360

6 months

US$ 1440

$360

9 months

US$ 2160

$360

12 months

US$ 2880

$400

Mailing Instructions

Send my forms via
Air Mail (no additional charge) Express (Add $ 75 in USA) ($150 Add for International)

Non-Refundable Fee

There is a Non-Refundable Registration Fee per course (the lesser of 10% of course tuition or $100 per course). It is:

US$ 96 for 3 months (2 times 10% of $480 per course)
US$192 for 6 months (4 times 10% of $480 per course)
US$288 for 9 months (6 times 10% of $480 per course)
US$384 for 12 months (8 times 10% of $480 per course)

The registration will be effective after fulfilling all entrance requirements including payment of tuition deposit.

For more information E-mail to info@sai2000.org