New Hampshire Germanic Association
German Language School

Please mail this Fall Semester Registration Form and tuition to:

NHGA-GLS Director
248 North Rd.
Candia, NH 03034

Please make checks out to:  NHGA-GLS

Name:	Tuition: Before Sept 1.................$240 After  Sept 1....................$250      Payment enclosed _________
Address:
Telephone:
E-mail:

Cancellation / Refund Policy:  I understand that a refund less $50.00 (administrative fee) can be requested before the third (3rd) week of the semester.  I may transfer to a different level class at no charge. NHGA reserves right to cancel classes and return tuition in the event of insufficient enrollment. ___________________________________________________ signature of registering student Class level:  Beginner, Advanced Beginner, Intermediate, Advanced  _______________ German language instruction background:  ___________________________________ German language mastery:  Ex. Can read simple text / understand conversation ______________________________________________________________________ How did you find out about us? _____________________________________