AP* Summer Institute Registration

PARTICIPANT INFORMATION

First Name:    Last Name:  

Street Address:   

City:   State:   Zip:

Telephone:    888-123-1234 

Email:  

SCHOOL INFORMATION

School:   District: 

School Address:  

School City:    State: Zip:  

School Contact Person:   (first & last name)

Contact's email:

Contact's Telephone:    888-123-1234

School Fax:   888-123-1234

Session 1: June 22-25, 2010 (Rolland Warner Middle School - Lapeer, MI)
Biology +$75 lab fee
Calculus AB
Chemistry + $75 lab fee
Computer Science
Economics
English Language

      English Literature (FULL)
Environmental Science
U.S. Government/Politics
Human Geography
Pre-AP* Math
Pre-AP* Science
Physics B/C
Psychology
Spanish Language
Statistics
Studio Art
U.S. History
European History
World History

Session 2: June 28 - July 1, 2010 (Grandville High School - Grandville, MI)
Biology +$75 lab fee
Calculus AB
Chemistry + $75 lab fee
English Language
English Literature
Environmental Science
Pre-AP* English
Psychology
Statistics
U.S. History
World History

Your total is:

PURCHASE ORDER -- PLEASE ENTER PO #:   
     (You will receive an invoice via USPS or FAX for processing via purchase order)

CREDIT CARD PAYMENT (An invoice will be sent within 48 hours to the EMAIL provided above for the School Contact Person. 
                                               Payment will be completed online using Paypal.)

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PRINT THIS PAGE PRIOR TO SUBMITTING FOR YOUR RECORDS. 
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