Printable Course Registration Form

The tuition for the full PSAT or SAT I program is $695 (including deposit). A non-refundable deposit of $195, which is deducted from the tuition, is required to reserve a class space and should be received prior to the course beginning. The balance is due by the beginning of the first class. Tuition for either the verbal or math portion of the PSAT or SAT I program is $499.

There is a 10% discount for early registration. PAYMENT IN FULL MUST BE RECEIVED AT LEAST TWO WEEKS PRIOR TO THE COURSE START DATE TO BE ELIGIBLE. With the discount, the full program is $625. The verbal or math program is $449.

Payment may be made by check, money order, or credit card (Visa, MasterCard, Discover, and American Express) and made payable to RLK.

Student Name:
Male/Female:
Address:
City, State, ZIP:
School:
Email Address:
Phone (Home):
Phone (Work, Parents):
Phone (Cell):

How did you hear about RLK?

Past SAT or PSAT Scores :
Score Date: Math: Reading: Writing:

Is the purpose of your registration to qualify for National Merit Scholarships? Yes No

Please enroll me in :

PSAT / SAT Section #

SAT Tutorial Program

Course Location

Full Program	$695 ($625 early registration)
Verbal Only	$499 ($449 early registration)
Math Only	$499 ($449 early registration)

Full Program	$995
Verbal Only	$525
Math Only	$525

Credit Card Information :

Visa MasterCard Discover American Express

Holder's Name:

Number: Exp Date:

A minimum of $195 is required with this registration form, with the balance payable in full by the first class date. Withdrawal from class, for any reason , must be in writing. Refunds may be partial or total. Please allow 4 to 6 weeks for a refund to reach you. You will receive a full refund for tuition if a course has been cancelled. The center reserves the right to cancel a course when it is under-enrolled. Requests for refunds are based on the following conditions: 1. The course deposit is non-refundable. 2. Before the first class has met, a 100% refund of tuition will be made less the course deposit. 3. After the first class has met, a 100% refund of tuition will be made. 4. After a second class has met, a 66 2/3% refund of tuition will be made. 5. After the third class has met, no refund will be made. All written requests must reach our office before the next class session.

RLK may dismiss any student whose tuition has not been paid on time or who, in RLK's opinion, is disruptive.

I understand and accept all terms of this agreement.

Parent or Guardian Signature __________________________ Date _________

Please mail or fax this page to:
RLK Educational Services
7735 Old Georgetown Road, Suite 110
Bethesda, MD 20814

FAX: (301) 656-5987

E-mail us at RLKTestPrep@aol.com

Dr. Ronald Kligman, Director
7735 Old Georgetown Road, Suite 110
Bethesda, MD 20814

1-800-999-4989
(301) 656-0900
FAX: (301) 656-5987