The Carrigan School

Use this form to contact the School.
Enter complete information so that we can contact you.
Write in any personal request or questions at the bottom.
E-mail, or print out the form and mail or fax it to the School.
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To: Carrigan School
Send: E-mail: info@carriganschool.com

Name _____________________________________________
Company Name ___________________________________________
The following address is : ___ Office /___Home address
Street Address ___________________________________ Office Suite/Apt. # ______
State _________________________ Zip Code _____________________
Telephone # _________________ FAX # _________________
E-mail address ___________________________

I am interested in:
_____ Private Tutoring _____ Group Classes
_____ Businessman _____ Spouse _____ University Student
_____ Medical or other Researcher _____ TOEIC _____ TOEFL
_____ Summer School for Children

Check any of the following boxes:
_____ Please _____ mail or _____ E-mail me the School's brochure
_____ Please call me so that I can ask some questions in English
_____ I would like to visit the School
_____ May I have a free demonstration class?

Best times for me to visit the School are:
Best days of the week __________________________________________
Best hours of the day _________________________________________

My Personal Request is:

___________________________________________________________