Your Custom Text Here Membership form-Special Offer Name * First Name Last Name Local Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone Number * (###) ### #### Email Address * Birthday MM DD YYYY Are affiliated with any of the following schools? * Not Affiliated with a University Brown RISD URI Providence College Johnson and Wales Salve Regina Bryant University Rhode Island College UMASS - Dartmouth Naval War College Other University Country of Citizenship * Your current citizenship - if more than one country, please list all Country of Origin * Where were you born? What is you age? * Under 18 18-25 25-39 40-54 55-69 69-80 Over 80 What is your current USA residency status? * US Citizen Permanent Resident (Green Card Holder) J1 Visa Holder J2 Visa Holder F1 Visa Holder F2 Visa Holder H1B Visa Holder H4 Visa Holder K1 Visa Holder Other How did you hear about us? Website Facebook Google or Internet Search Newsletter or Flyer At My College or University Friend or Family Other Thank you for registering for one of our language classes! If you are not already subscribed for our e-newsletter, you will receive an email giving you the option to ‘subscribe’. Please subscribe to get updates from us!Within the next 72hrs you will receive an email after we have reviewed your registration form. For new students, we will provide all the information you need about your class registration, schedule, and placement. If you are a returning student, we’ll confirm your class placement in that email. If you’d like to complete a payment at this time, you can do so here. See you soon!
