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Registration Form


WRITTEN STATEMENT


* Required fields

*I would like to register for the Internet department of the New Image College of Design and Technology. Please send me the necessary study materials for the following program:

Graphic Design for Web and Print (Certificate of Complition Program)

I undertake to submit the assignments, pay tuition on time, and buy the recommended literature (approximate cost of recommended literature for the whole program is under US$ 200).



TUITION

*Please, choose the most convenient payment method:

Credit card (Visa, MC, AM)
PayPal transfer
Bank transfer
Check or money order
Monthly e-mail-invoices (through PayPal)



PERSONAL INFORMATION
*First name:
*Last name:
*Address 1:
 Address 2:
*City:
*State/Province:
*Country:
*ZIP/Postal Code:
 Home phone:
 Office phone:
 Cell phone:
*E-mail address:
(Under age 15, please
provide parent's e-mail)
*Confirm e-mail:
 Gender:     Female    Male   Your age:
 Completed
High School:    Yes       No 		  If no, last grade
completed:

 Computer
proficiency:
beginner     basic skills     experienced user

*Where would you like your books and CDs shipped? Please provide a complete mailing address (UPS requires a street address, no PO Box numbers, please).
 


ADDITIONAL INFORMATION

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