Registration Form for Level 1A Course

FOR INTERNATIONAL STUDENTS

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Your Name *

First

Last

Your Pronouns (optional)

Email *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Are you Deaf, hard-of-hearing, hearing or other? *

If other, please explain.

Do you have any background in sign language? *

Please explain.

How did you know about ASL Pinnacle? *

Please specify where and/or who so I can thank them. *

Are you purchasing a single course (Level 1A) or a bundle of two courses (Level 1A and Level 1B)? *

Total Fee for a Single Course (Level 1A, Section 1) plus tax *

Price: $218.00

€195 = $218

Total Fee for Bundle Package Level 1A & Level 1B plus tax *

Price: $408.00

€365 = $408

If you have a code, please enter it here.

Total Cost *

Price: $0.00

Stripe Credit Card *

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