Summer Language Seminar Registration Form

Deadline for registration is two weeks prior to the seminar.

Name
Address
City
State
Zip
Home Phone
Work Phone
E-mail Address
Social Security Number
Birthdate
Carthage ID#(if known)
Have you ever attended Carthage before?yes no
Approximate date of attendance

Tuition Fees

For the seminar, the tuition is $1,440, a cost of $360 per credit.

Payment Options

The total cost will be: $1440.00

Choose one of the following options:

I am mailing a check made payable to Carthage College.

Please contact me about paying by credit card.

If paying by check, please mail to:

Adult Education
Carthage
2001 Alford Park Drive
Kenosha, Wisconsin 53140-1994

(262) 551-5734
(800) 551-5343
Fax: (262) 551-5704
E-mail: jweiser@carthage.edu