Summer Form

Please use the following secure form to register for any 2009 Be Prepared Summer Course. By submitting the following form, you are authorizing Vantage Point Tutors LLC to immediately bill the credit card listed below for 25% of your total purchase as a non-refundable deposit, and to bill the remainder of the purchase by no later than June 31, 2009.

Early Registration Discount

You will receive a 10% Early Registration Discount on your purchase if you register by June 1, 2009.

Summer 2009 Program Registration

Vantage Point Tutors

Billing Information

Student Information

Student's Name

Parent's Name

Parent's Cell Phone

Parent's Email

Choose a Course

State

Billing Address

Billing Address (continued)

Town/City

Zip Code

Cardholder's name

Card number

Security code

Type of card

Expiry date