SAT Course Enrollment Form
Parent Name
*
First Name
Last Name
Parent E-mail
*
Phone Number
*
-
Area Code
Phone Number
Student Name
*
First Name
Last Name
Course Location
*
27537 Commerce Center Drive #204 Temecula, CA 92590
Class Name
Class Start Date
*
How did you hear about us?
*
Google/search
Referred by someone
CHS Banner
Facebook
School
Other
Who referred you?
We offer referral discounts, so help your friend get credit!
My Products
SAT Skills Class
$
249.00
ACT Skills Class
$
249.00
SAT Series Class
$
449.00
Enter coupon
Apply
Total
$
0.00
Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Date
Postal Code
Submit
Should be Empty:
SAVE 25%
on monthly & annual plans
Create your own JotForm