Registration

General Information:

Current student?:

Yes

(Select Yes if you are a current student and include your CIE TESOL Student ID below)

TESOL Student ID:

Complete Name:

(Your name as it will appear on your certificate)

Address:

Address Line 2:

City:

State/Region:

(2 letter abbreviation)

Postal / Zip Code:

Country:

(2 letter abbreviation)

Preferred Phone:

Please include country code - format: 011-555-1234

Alternate Phone:

Optional - Please include country code - format: 011-555-1234

Fax:

Optional - Please include country code - format: 011-555-1234

Email Address:

Course information:

Please Select:

Student

Medical Professional

Current Student:

Single Registration (~~$400 US~~ Discounted fee $199.00)

Please Select:

Single registration - new student ($400 US)

Group of 4 or more ($300 US per student)

Group Name:

Name
Email

Preferred Dates:

Select a course date

Select a course date:

Select a 2nd course date:

Select a 3rd course date:

Comments (optional):

Recaptcha

Total Cost:

Notes

Name

Course Information

Tuition (USD):
CIE TESOL Students $199
Single $400
Group $300
(minimum 4 per group)

USA:
Course Dates
August 9-11, 2010
August 16-18, 2010

Mashdots College
411 E. Acacia Ave.
Glendale, California 91205

CANADA:
Course Date
October 4-6, 2010

TBD
Toronto, Canada

Registration

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Course Information