Registration Form

 

Checks in the amount of $200 should be payable to : C.A.S.IT., Inc.

 

Last name ____________________

First name ____________________

Address _____________________________

City _________________ 

State ___________ 

Zip Code ____________________

Home tel.(_______) ________________

Work tel.(_______) ________________

Fax(_______)____________________ 

E-mail ___________________________

Academic background (Optional)_______________________________________

________________________________________________________________
________________________________________________________________

Your knowledge of Italian ____________________________________________

Course Title(s) ______________________________________________________

Session (Please circle one) Fall  Winter  Spring  Early Summer

Mille grazie! A presto!

Please send to C.A.S.IT., Inc.
59 UNION SQUARE - SUITE 206
SOMERVILLE, MASSACHUSETTS 02143

Ph: (617)623-0532