|
Family Name:
First Name:
Middle Name:
Home Country Address:
City: Postal Code:
Providence/Territory: Country:
Country of Birth:
Country of Citizenship:
Home Phone Number:
City of Birth:
Anticipated Arrival Date:
MM/DD/YYYY
Date of Birth:
Anticipated Departure Date:
MM/DD/YYYY
MM/DD/YYYY
Would you like to be contacted regarding Jet University Dormitory Housing?
Training Courses Requested:
Private Instrument Commercial Multi Engine
CFI CFII MEI ATP Jet Training Type Rating
Payment: Please include a $1,000 VISA fee (if visa is denied fees will be refunded). Our Wire information: Wachovia Bank Ft. Lauderdale, Florida USA ACH/RT 067006432 Account #2000043135927. In lieu of a wire transfer, you may provide credit card information or send a check. Once your deposit and application are processed, your acceptance letter and I-20 paperwork will be express mailed to you.
Check Enclosed Money order enclosed Wire Transfer Credit Card: Name on Card
Card Number
Exp: Mth
Yr
CVV
Email Address:
Date:
|