Student Registration Form

1. Your Info

First Name*
Last N

Your Registration will be completed only when we receive your payment.
If you wish to pay via CC please call Luisa at 207-939-5127.

Write and mail your check to: Institute for Italian Studies

PO Box 8092

Portland, ME 04101

ame*
E-mail*
Phone Number*
Cell Number
Fax Number
Address*
City*
State*
Zip Code*

Class

 

Comments

* Required Fields

Please be sure that you have completely filled out the form, and read the Institute policies before pressing the submit button. Once you are sure that the information you entered is correct, press the Submit button to register.

Please check the box before submiting if you agree to the Terms and Conditions of Institute policies.

 
______________________________________________________________________________________________________________
Copyright © 2009 IISmaine. All rights reserved.