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Courses for English Background Students

Complete this form in its entirety.
Registrant's Details
First name:
Middle Name:
Last name:
I understand that I am cancelling my registration for the course which I have registered. I understand that I must submit the cancellation form before the first day of the class and I will be sent a cheque with a refund minus $5 cancellation fee.
The refund check will take up to 3 weeks for processing. The refund will be sent only by check
The name should be endorsed to
Address check will be mailed to
Street Number and Name:
City:
State:
ZIP:
Contact Email Address:
Contact Phone Number:
Reason for cancellation:
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