Learn Italian - Lessons, Parties, Recipes, Restaurants ...

"Raise Your IQ" (Italian Quotient)	Email Registration Form

For which class are you enrolling?

For how many are
you pre-registering?

	Tampa - 4 Week Class (CDB Southside)
	St Petersburg - 4 Week Class (Cafe Cibo)
	Palm Harbor (Positano's Ristorante Italiano)

	Sarasota Class (Mamma Onesti's)
	Breakfast at Il Panificio (Sarasota)
	Intermediate Italian (CDB Southside)
	Tampa - 6 Week Class (CDB Southside)

	St Petersburg - 6 Week Class (Cafe Cibo)
	Tampa Spanish (Castellano & Pizzo)
	St Pete Beach Spanish (SPB Rec Center)
	Skype Class

	One
	Two
	Three
	Other

Name:

Address:

City, State & Zip:

Home Phone #:

Work #:

Cell #:

E-Mail Address for Class Confirmation:

How did you find out about the class?
	Internet		Flyer		Newspaper		Other

A $50.00 deposit for each student is required to secure your admission. This deposit will be applied to the entire cost of the class and is non-refundable should you cancel less than seven days prior to the start of your class. In the event of a class cancellation by Learn a Language Inc. deposits and payments in full will be refunded in full.

Please mail payment in full or $50 deposit to secure your admission.
Make check payable to: Learn a Language Inc.

Mail To:

Learn a Language Inc.
4905 34th. Street South
Suite 135
St. Petersburg, FL. 33711

IF you paid online, please check here>>

*Class cancellation must be made 14 days prior to class time. The Deposit is non-refundable.

By clicking the "Submit" button below, I agree to the terms and conditions of this agreement.