COURSE REGISTRATION FORM
OFFICE OF INTERNATIONAL
PROGRAMS AND SERVICES
SPANISH COURSES 09
Medical Spanish
COST: 25
for the book TOTAL
6 Classes = $95.00 $
120.00
5 Classes = $80.00 $
105.00
4 Classes = $64.00 $
90.00
Make check payable to: BiLingo LLC
119 Guilford Dr, Goose Creek, 29445
DATES: February 3 - March 9
TIME: 6:00
PM - 8:00 PM
CLASSROOM: MUSC COLBERT EDUCATION AND LIBRARY
NAME:_______________________________________________________
ADDRESS:____________________________________________________
____________________________________________________
EMAIL ADDRESS:______________________________
TELEPHONE NUMBER:_________________ PAGER
NUMBER:__________________
COLLEGE: (Students circle appropriate college)
Medicine Dental
Medicine Pharmacy Health
Professions Nursing Graduate
Studies
OR
DEPARTMENT:_____________________________________
NO REFUNDS
