ITALIAN CLASS REGISTRATION FORM

DA VINCI CENTRE

195 BAY ST. VICTORIA BC V9A-3K4

e-mail italianclasse@gmail.com

NAME: __________________________PHONE NUMBER: ________________________

ADDRESS: _________________________E-MAIL:______________________________

Need a text-book YES______ NO______

Textbook $ 20.00 - Italian Made Simple by Cristina Mazzoni

Please, pay for it separately or when you come to class, please let us know if you need one.

For more info please e-mail Giovanna at italianclasse@gmail.com

Six students are needed to start a class.

Cancellation up to 5 days before course start date will incur a 20% cancellation fee.

Cancellation during the 1st week will incur a 50% cancellation fee.

After that date, we regret that refunds cannot be given.

Full refund, only if course is cancelled.

Fee: $155.00 Please, make cheques payable to: VIAC and mail at the above address

(Cheques or cash accepted)

Textbook $ 20.00 Italian MadeSimplebyCristinaMazzoni

Please, pay for it separately or when you come to class, please let us know if you need one.

For more info please e-mail Giovanna at italianclasse@gmail.com