National Registration Center for Study Abroad
To speak with a NRCSA staff member, please call (888) 678-6211
Or, email us at study@nrcsa.com
 
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NRCSA On-Line Registration Form  


All NRCSA program fees are in US Dollars. NRCSA welcomes participants of all nationalities from any country around the world.

1. A non-refundable deposit of $100 USD (applied towards the cost of the program) and non-refundable registration fee of $40 USD per person, per program, payable to NRCSA (Total of $140 USD).

NOTE: The registration fee of $40 is waived for NRCSA alumni who have taken a NRCSA program since January 1, 2000.

2. Register early. Add a $40 USD per person late fee if paying in full within 40 days of departure. Within 20 days, all payments must be made by certified check.

3. Credit Cards may be used for deposits. NRCSA's Fax is (414) 271-8884. NRCSA street address for overnight deliveries is 207 E. Buffalo St., Suite 610, Milwaukee, WI 53202, USA. Please send separate form for each school if taking multiple programs.

4. If you have any questions about the registration process, or if you would rather register over the phone, please contact NRCSA at (414) 278-0631.

First Name: Last Name:
Birthdate: Citizenship
    Gender:
Tel Home: - Tel. Work: -
Email: Fax:
 
Street:
  Street address (not P.O. Box) where someone can sign for documents sent to you.
City:
State/Province:     Zip:  
Country:
Employer: Occupation:
Emergency Contact:
  Name, Address & Phone Number of someone not traveling with you.
 
Level: Objectives:
Allergies/Health:
Hobbies:
Goals:
Previous Study:
  Describe any foreign language study and/or travel experience.
Heard of NRCSA:
 
Lodging Type: Room Type:
Lodging Start: Lodging End:
Smoking Pref: Pets Pref:
Children Pref: Family Type:
Lodging Options:
  Indicated preferences which will be matched when possible. Special Diets may be available at an additinal cost. Please describe any special dietary requiriments and a NRCSA represenative will contact you with more information.
 
Insurance: Included for prepaid study dates. If you leave early/return later and want to extend coverage, add $19/addl wk (or fraction) and advise dates.
 
Location:  
Program Start: # Weeks:
Program Name: Hrs/Day:
Program Options:
 
Deposit By: Amount: USD
  **Please note that a registration does not become active until the program deposit has been received. If you choose to not pay with a credit card now, please contact NRCSA at your earliest convenience with payment information.
Card Number: Exp Date: /
Card Holder: CVC: What's This
Billing Address:
City:
State/Province:     Zip:  
Country:
By submitting this form I agree to the NRCSA Terms and Conditions
 

 
 

National Registration Center for Study Abroad
P.O. Box 1393    Milwaukee, WI   53201   USA
Tel: (414) 278-0631    Fax: (414) 271-8884    E-Mail: study@nrcsa.com
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