FALL SEMESTER REGISTRATION FORM
Please mail this registration form and tuition to:
NHGA-GLS Director
3 Alder Way
Bedford, NH 03110-5501
Check can be made out to NHGA-GLS

__________________________________________ Name of student __________________________________________ Street __________________________________________ City, State, Zip __________________________________________ Telephone................day..........................evening __________________________________________ E-mail address, if any

Calculate Tuition Adult -------------$195.00 NHGA membership. Check ONE, but DO NOT CHECK IF MEMBERSHIP DUES ARE PAID UP. Family, full year ----$35.00 Single, full year -----$25.00 Senior, full year ----$15.00 Student, full year ---$15.00 Total tuition plus membership_______________

_____________________________________________________________________ How did you find out about us? Knowledge of German (For new students only): Check all that apply and/or fill in the blanks: None______ Can read simple text.______ Can greet others and introduce myself_______ Understand some conversation________ Read German newspapers________ Semesters studied: High school_____College_____German Language School_____ Can you write the following sentence in German? (Use a dictionary if needed.) Can you pass the salt, please? _______________________________________________