Individual Registration Form - All Languages
Please fill out this form so that we can find the best possible teacher to match your needs and schedule!
Which language are you interested in learning?
How did you discover Speak?
Best Phone Number
Please tell us about your level of experience with the language--professional and/or personal.
What are your current goals for this course?
Which days/times are best for you? How many hours would you like to meet per week?
Any special requests in terms of your instructor's background?
Would you prefer to have your lessons at Speak! Language Center or at another location? If the latter, please specify the location.
Please select the total tuition due:
10 hours (Skype lessons): $500
10 hours: $600
20 hours: $1,150
25 hours: $1,400
30 hours: $1,650
37 hours: $2,000
50 hours: $2,650
60 hours: $3,000
Other (see below)
If you would a number of hours not listed above, please provide this in the space below and we will contact you with a price quote:
Got a coupon?
Please type in the total tuition in the box below.
(If using a promo code, deduct the coupon value from the total.)
How would you like to pay?
Credit/Debit card through Paypal (next step)
Mail a check to Speak!
Payment and Cancellation Policy: Payment for the total course is due at or before the first lesson. Please note that individual lessons are scheduled directly with your teacher. If it is necessary to cancel a scheduled lesson, you need to give your teacher 24 hours notice. Otherwise, the lesson time will be charged. (Exceptions may be made in cases of illness or emergency.)
Please type YES to indicate you understand this policy
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