UAPCCD REVIEW CLASS APPLICATION FORM

COURSE FEE
COURSE REGULAR RATE INSTALLMENT CAS reserv 1st day after H
e

30day s

PACKAGE A INSTALLMENT CAS reserv after H

e

30day s

After 60day s

PACKAGE B INSTALLMENT CAS reserv 1st day After H

e

30day s

Comprehensive Review Architectural Design & Site Planning Correlation/Refresher Course Note: All fees charged will be NAME HOME ADDRESS E-MAIL ADDRESSES

8,500 3,500 3,500

1,000 500 500

4,250 3,500 3,500

4,250 X X

13,50 0

2,000

6,500

6,500

11,00 0 X

1,000

5,500

5,500

refunded once reviewee places in the Top Ten. SCHOOL GRADUATED FROM SCHOOL ADDRESS CELLPHONE NUMBERS COURSE Basic Course Architectural Design Refresher Refresher Installme Full
nt

REGISTRATION FORM

YEAR GRADUATED SECTION () 1 2 3 4

FACEBOOK ACCOUNT PAYMENTS DATE

TWITTER ACCOUNT

RECEIPT NUMBER

Basic Course Installme Full

nt

Archl Design Installme Full

nt

Package A Installme Full

nt

Package B Installme Full

nt