ESL and More!











Learn English in a small, relaxed setting

                         

Registration

Easy 3 step process:

Step 1 - Print the Payment Form:  Payment Form
Step 2 - Fill out and submit the electronic form below.
Step 3 - Enter your information on the Payment Form and mail with your payment to 
  complete your registration. 

Thank You!

Contact Information

Fill out the form below to register for your classes.  You will not receive a confirmation from the web site; however, I will send you an email to let you know that you have successfully registered.  If you have not received an email confirmation within three days of submitting this form, please contact me at melanie@ESLandmore.  
 
First Name:
Last Name:
Address:
Apt. Number
City:
Zip Code: (5 digits)
Phone Number:
Email:
Please indicate the classes you would like to take:
 
  MULT100
  MULT200
  CONV210
  NEWS220
  CONV230
  BUSN200
 
How did you learn about the classes:
  Returning Student
  I saw the information on a flyer
Please write where you saw the flyer:
  Michigan Kuchikomi Joho Web Site
  Web Search
  Brochure
Please write where you saw the brochure:
  Someone told me
Please write who told you: