SUPERIOR SAT TEST PREP

7810 BALLANTYNE COMMONS PARKWAY, #333 

CHARLOTTE, NORTH CAROLINA 28277 

PHONE: 704-319-5516 / FAX:  704-319-5517 2009 APPLICATION

 SAT    PROGRAM or Private Tutoring

 Name: ______________________________________ Date: _________________

 

Address: ___________________________________________________________

 

City: ______________________________State___________ Zip: _____________ 

E-Mail Address: ____________________________   Phone: _________________

Necessary for examination purposes only.  We will never share your name, address, phone, or email address with anyone nor ever send you any unwanted solicitations.

 

DOB________   GRADE______  

 

SAT TEST DATE________  PRIOR SAT SCORE_______

 

Which of the following describes your strongest area? Math___English___Writing_____

Which of the following describes your weakest area?   Math___English___Writing ____

 

Private Tutoring $30.00 per hour  _____________

 

SAT DAY CLASS PROGRAM                         Mon. and Wed. 12:00 pm -3:00 pm  ___________

OR   SAT EVENING CLASS PROGRAM            Tues. and Thurs.  6:00pm-9:00 pm ___________

12 SESSION SAT Program____  $600 DISCOUNT 

APPLICATION FEE     ______    $50                                                        TOTAL ____________

CANCELLATION POLICY: Full refund (minus $50 Registration Fee) with 7 or more days notice.  IF CANCELLATION OCCURS 6 DAYS OR LESS, YOU MAY RECEIVE FULL TUITION CREDIT TOWARDS A FUTURE PROGRAM OFFERED, NO MONIES WILL BE REFUNDED.  


_______ I have read the above and agree to the terms.  To the best of my knowledge all answers above are correct and true.

 

Signature__________________________________________________________________________

 

Payment enclosed  ____________ ( REMAINING BALANCE TO BE PAID BEFORE LNC PROGRAM COMMENCES).

 

All applications and deposit checks must be mailed to:  LNC EDUCATIONAL Consulting Center, (address above).  Please telephone us (704) 319-5516 if assistance is needed.