Philadelphia

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Philadelphia Chinese Language Cancellation Form

Complete this form in its entirety.

Registrant's Details
First name:
Middle Name:
Last name:

I understand that I am cancelling my registration for the course which I have registered. I understand that I must submit the cancellation form before the first day of the class and I will be sent a cheque with a refund minus $5 cancellation fee. The refund check will take up to 3 weeks for processing. The refund will be sent only by check
The name should be endorsed to
Address check will be mailed to
Street Number and Name:
City:
State:
ZIP:
Contact Email Address:
Contact Phone Number:
Reason for cancellation:

Submit

Philadelphia Chinese Language Center
1801 Butler Pike, Apt#41
Conshohocken, PA 19428