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Student Name(Required)

First Last

Student Email(Required)

Phone(Required)

Address(Required)

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Select Course Date(Required)

Crushing Math: May 22 - June 18

Crushing Math: June 19 - July 16

Learning to Learn Short Course - Part 1: July 8 - 16

Crushing Math: July 17 - August 13

Short Course Amount(Required)

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Billing Address(Required)

Same as previous

Street Address Address Line 2 City State ZIP Code

Secure Credit Card

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Would you like to cover the 3% service fee, so that 100% of your payment goes to Achieving Academic Success?(Required)

Yes, I would like to cover the service fee.

No, I do NOT want to cover the service fee.

Service Fee (3%)

$0.00

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