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