青少年在线中文课程报名表

Online Study Application Form for Kids and Teens

    家长情况/Parent Information

    称呼
    Salutation/Prefix:

    家长姓名
    Parent Full Name:

    家长电子邮件
    Parent Email:

    联系电话
    Parent Phone Number:

    学生信息/Student Information

    姓名/Full Name:

    中文名字(如果有)
    Name in Chinese Characters
    (if any):

    年龄/Age:

    性别/Gender:

    男/Male女/Female

    课时信息/Class Information

    希望课程开始日期 / Expected Starting Date

    希望每周上课次数 / Expected number of class every week:

    1 课时/1 hour2 课时/2 hours3 课时/3 hours4 课时/4 hours5 课时/5 hours6 课时/6 hours

    每周上课日期 / Expected date of class

    周一/Monday周二/Tuesday周三/Wednesday周四/Thursday周五/Friday周六/Saturday周日/Sunday

    购买课时数 / Number of classes to buy

    20课时/20 hours40课时/40 hours80课时/80 hours100课时/100 hours120课时/120 hours

    付款方式 / Payment Information

    我们的课程顾问会根据您的付款方式提供给您我们的付款信息
    Our course consultant will provide the payment information according to your payment method.

    人民币银行转账/RMB Bank Transfer人民币支付宝转账/RMB Transfer via Alipay外币（美元）银行转账/Foreign Currency(US dollar) Bank Transfer外币（非美元）银行转账/Foreign Currency(Other than US dollar) Bank Transfer国际信用卡在线支付（+手续费4.4%）/Online payment by International Credit Card(+4.4% Fees)