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    留学美国申请表


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    1.所填信息必须与申请人国际户照信息相符。
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    2.所有内容必须用中文和英文字母/汉语拼音填写。

    3.学校在收到此表后,24小时内您会收到该活动的详细安排及其它信息。 

    [object Object]
    支付注册费$185 
    付款方式
    □ 银行转账 Bank Wire Transfer with no charges to the beneficiary to  
    • 收款单位 Receiver: JPLI LLC 
              DBA: JP Language Institute,
    • 账号Account No:830616600
    • 银行代码 Bank Routing: 021000021
    • 银行名称Bank Name: JP Morgan Chase Bank,
    • 银行地址:1 United Nations Plaza, New York, NY 10017-0431;
    • SWIFT 代码 SWIFT CODE: CHASUS33;
     □ https://www.zellepay.com, make payment to: Admission@jpli.org
     □ Paypal.com, make a payment to: Admission@jpli.org
     □ 信用卡付款 Credit Card Payment □ Visa / MasterCard,
          卡号Card Number:___________________________
            过期日期 Expiration Date: ____ Month   _________Year
    授权许可I hereby authorize    JPLI to charge my credit card in the amount of US 数额美元$__________ .
    ______年____月___ 日           持卡人签字 ________________
    DAY MONTH YEAR NAME OF CARD HOLDER SIGNATURE OF CARD HOLDER
    *JP语言学校在收到上述费用后,您在三个工作日内会收到学校的《邀请函》

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​Melville, NY 11747 

 
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​- 2 West Main Street, Bay Shore, NY 11706 
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