Cross Cultural Communications,Inc

Registration form for one program only

Select a language (a) Spanish   (b) ESL  (c) Accent reduction   

 Select  Children/teen program (   ) adult program (  )

Name __________________________

Last name______________________________

Address ________________________________________________Town____________________________State________

Zipcode ___________________

mobile number _____________________________________________

email _____________________________________________________

10 week program (     )$676.00


Mail in your payment  pay at  the center with registration form to ;CCC, Inc  

58 Bergen St, Westwood,  N.J.,07675 201 263-1443 or email us the form 

*Material is included. Should you withdraw, only a credit good for life of program is granted.

No make up classes is given if you miss a class. Only if the center is closed due to inclement weather we will offer a make up class.

 Date program starts ________________ends ________________

+Call center for prices on  our tutoring, Bilingual Child and other Spanish and ESL Programs.