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877-532-3370 

 

pencils 

 

2011/2012 Enrichment Spanish Classes
Grades K-6 

Class Schedule and Registration Form


Los Ninos (K-1st grade) Tuesday 4:00-5:30
Yearly tuition: $900 or $110/mo. Aug-May via Autopay

Los Chicos (2nd -3rd grade) Tuesday 4:00-5:30
Yearly tuition: $900 or $110/mo. Aug-May via Autopay

Los Jovenes (4th - 6th grade) Tuesday 4:00-5:30
Yearly tuition: $900 or $110/mo. Aug-May via Autopay



I am registering for the _____________________class on ________________ at _____________. 
                                        (language)                               (day(s) of week)           (time)

Register by Fax: Fax registration and credit card information to 630-578-0948.
Register by Mail: Mail completed form and payment to 416 State St. Geneva, IL. 60134
Please complete one form for each student. Make check payable to: Foreign Language Network.

Name:_________________________________________________________Age:______________

Parent name:_____________________________________________________________________

Street:_______________________________City___________________Zip________ __________

Home phone:_________________________Cell phone:__________________________________

Emergency contact:_________________________________Phone:_________________________

Email address:____________________________________________________________________
We will confirm your registration via email. Email addresses are kept confidential.



AutoPay (tuition is broken down into monthly payments)
I would like to sign up for AutoPay and have my credit card charged on the 1st of each month. I understand the tuition is pro-rated each month, therefore I will only be charged for the number of classes that meet each month. I understand that in order to cancel or suspend Autopayment, I must call the billing center at 630-377-8794 before the 1st day of the month.

_____________________________________________
(signature)

credit card information is kept confidential and only viewed by company owner.

Credit Card Payment Visa:____ Mastercard:_____

Cardholder:______________________Card number:______________________Exp. date: _______

Signature:___________________________________________Amount:____________or Autopay

Security Code (the three digit code on the back of your card) ______________________Insert text

 

 

 

     

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