USA ELC Credit Card Submission

Students Name *

Last Name *

Email *

Phone Number

- Area Code Phone Number

Address *

City *

State

Zip Code *

Class Enrollment:

Course Fees (Tuition is paid every 4 weeks)

Morning or Weekend Tuition $ 350.00

Afternoon Tuition $ 199.00

Evening Tuition $ 300.00

Special - 2 Classes per day $ 500.00

Application Fee (non-refundable) $ 75.00

Administrative Fee (non-refundable) $ 175.00

Documents Preparation Fee (refundable upon cancellation) $ 125.00

I-20 Rush 48hrs $ 50.00

I-20 Rush 24hrs $ 100.00

Late Fee $ 25.00

Total $ 0.00

Additional Comments