1. Please provide the following contact information:

   First Name
   Last Name
   Middle Initial
   Organizational Title
   Organization
   Street Address
   Address (cont.)
   City
   State/Province
   Zip/Postal Code
   Country
   Work Phone	Example: xxx-xxx-xxxx
   Home Phone
   FAX
   E-mail
   URL

2. Please identify and describe yourself:

   Age	1-7 8-18 19-35 36-55 55-70 70+
   Sex	Male Female

3. Do you speak some Mandarin Chinese?

   Yes No
   

4. If so, how much?
   (If 0 is "Not even one word", 10 is the fluency level of native Chinese people.)

   0 1 2 3 4 5 6 7 8 9 10
   

5. Why do you want to learn Mandarin Chinese?

   
   

6. What industry is your business in?

   
   

7. How did you find our training program?

   
   

8. Please choose one class from the drop down menu below:

   Please choose one... IntroClass - Saturday 2:00 p.m. - 5:00 p.m. AdvancedClass - Saturday 5:00 p.m. - 8:00 p.m.

   Notice: The Advanced Class is from April 14th,2007 to June 30th, 2007.  You shall choose one of the three options from the drop-down field above, which fits your schedule the best.  You will only need to attend one class per week for 10 consecutive weeks under the Introduction course program or 11 consecutive weeks under the Advanced course program.
   　

9. Please describe your expectation for this training program:

   
   

   Refund Policy:
   You have the full rights to ask for a refund after you tried 2 of our classes.  Usually by that time, you are able to judge our program works as we say or not.  Upon your refund request, within 5 business days, in your mail box, you will receive the refund check.  We will 100% refund you all the registration cost and class charges which including all materials' cost except the cost of damaged or marked training materials.  After you attended 3 classes, nothing will be subject to refund.

     Yes. I have read, understood and I agree with the above refund policy.

Reminder:
After you filled up the registration form above, please make sure you have clicked on the "Submit" button above.  Afterwards, this web page will automatically take you to the screen to submit your payment.