AUAP SELECTION + GUARANTEED ADMISSION PROGRAM

First Name *

Last name *

Full Address *

Telephone

Email *

Looking for

Field of Studies

Entry Date

Budget (for Tuition fees) per year

Former studies: If possible includes Grades *

Preferred location

I prefer a compus which is

Special destination (if any)

Size of the Institution

I prefer a

I have already taken the following tests

Score(s) and date of the tests if any

Why do you want to study in the USA?

The most important for me is

I want to add the following

I want to subscribe to the AUAP SELECTION and GUARANTEED ADMISSION PROGRAM ($2500) that includes the choice of 3 universities and guarantees admission subject to minimum scores at the mandatory tests and a sufficient budget

Credit Card Number

Expiration date-month/ear format (like10/14 for November 2014)

Control number (3 digits at the back for Visa/Master 4 Digits on the front for AMEX)

I prefer to pay by bank transfer

I understand that all the above data are confidential and are protected by the privacy laws of the United States of America. AUAP will not disseminate nor sell it without my consent. I agree that the competent jurisdiction is the Sate court of Florida.

American Universities Admission Program Suite 1 4619 Higel Avenue Sarasota FL 34242 USA harvard@auap.com Tel+13042507005 Fax +19413494370

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