Please register me now and enroll me in the classes listed below.

Name
Address
City
State
Zip Code
Country
E-mail
Telephone

Check box to enroll in the Accelerated Learning Program (ALP).

      Number                       Class Title                                           Tuition

    Universal Currency Converter       Total Due:

         

Print out this form and mail with your check,

money order, or credit card information to:

 

Flamel College

P.O. Box 22309

Sacramento, CA

95822-0309 USA

 

or fax to (916) 760-0823.

     

Your class materials will be sent as soon as this form is received.