Adult Classes Registration Form – Alliance Française of the Lake Champlain Region

Name*

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Address*

Street Address City State ZIP Code

Phone

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Are you a member of the AFLCR?*

Please answer "Yes" only if you have joined or renewed within the last 12 months.

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Yes

How did you hear about our classes?

Class Selection*

Member Discount Applied

Price: $0.00

Reading Materials Fee

Price:

Course Materials Fee

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Book Option

If you already own the course material ("Latitudes 1" for classes A1 101 through A2 101, or "Latitudes 2" for A2 102 and above), please select the second option from this menu to subtract the course material fee.

Total

$0.00