1. Name          
2. Agency Name
3. Address
4. Contact telephone
5. Date/Course titleDate(Please submit which date)
6. Must list E-mail address
7. Please print this page before submitting: (This confirms registration and equipment list needed for class)

Course: Intermediate Spanish (reported as 2109 with TCLEOSE)
Tuition: $25.00
Start/End Date: April 21-23 or July 21-23 or Oct 20-22, 2010 (24-hrs) 
Start Time: 8:30 AM
Room#: TBA
Dress: Clothing suitable for classroom lecture
Material to Bring:
     Pen and paper
     TCLEOSE PID# (is required for credit)