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Fees & Dates 1999
Fees & Dates 2000
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Brandon College
830 Market Street, 7th Floor - San Francisco, CA 94102 - USA
Telephone: (415) 391-5711 Fax: (415) 391-3918 Email: ESLBrandon@aol.com

©Brandon College 1997-99
































1. Your Personal Data
Your Personal Information
Family Name:
First Name:
Email Address:
Country of Birth:
Date of Birth: MM/DD/YY     Male Female
Country of Citizenship:
Home Address in Your Country
Address:
City:
Country:
Work Phone:
Fax or Telex:
Home Phone:
Profession:
How did you hear of Brandon College?
 
Emergency Contact Information
Name:
Relationship:
City:
Phone:
Address in the US (if known)
Address:
City:
State:         Zip:
Work Phone:
Fax or Telex:
Home Phone:
US Email:


2. Your Course Data
  Intensive English   Start Date:    Number of Weeks:
Select an Afternoon Course:      Conversation:      TOEIC:      TOEFL:
  Business English   Start Date:    Number of Weeks:
  Private Instruction:   Start Date:    Number of Weeks:
Type of Private Instruction:      Personal:      Business by Special Request:
  Cambridge Courses:   Start Date:
Select One Cambridge Course:      FCE:      CAE:


8. Your Agreement

    By submitting this Application Form to Brandon College, you agree to the following:
  1. I have read and understand the terms outlined in the Brandon College Conditions of Enrollment, including the Cancellation and Refund policy.
  2. I have read and understand the schedule of costs set out in the current Brandon College "Dates and Fees" section and hereby affirm that I have sufficient funds to pay all tuition and the cost of food, accomodations, and personal expenses during the full period of my course at Brandon College.
  3. I authorize Brandon College to take appropriate action in the event of a medical emergency and I understand that I am responsible for medical bills incurred.
  4. I certify that the information given by me in this Enrollment Form is accurate and complete.



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©Brandon College 1997-99
830 Market Street 7th Floor, San Francisco, CA 94102 USA
Telephone: (415) 391-5711 Fax: (415) 391-3918 Email: ESLBrandon@aol.com