ART MUSEUM WASHINGTON THE AMERICAN EURASIAN ART FOUNDATION

Academy purchase form

Late registration still available for some classes $495.00 USD

International and National Students Application Form

Summer Semester begins June 1, 2022

First Name

Last Name

Phone

Address line 1 Permanent Home Address (Same as Credit Card)

City

State

Country

Age

Field label

Spring Semester 2022

Summer Semester 2022

Fall 2022

Winter 2022-23

Educational Background

By student applicant.

I hereby declare that I have provided accurate information in this form myself (the student applicant).

For an applicant under the age of 18.

I, the parent/guardian of the applicant hereby consent to this application for study

Card Number

Expiration

CVC

Notes / Requests

SUBMIT APPLICATION WITH THE PAYMENT ON THIS FORM IF PAYING WITH PAYPAL YOU STILL HAVE TO SUBMIT THIS FORM

Free Text

You will receive an email confirmation

You can Pay via PayPal; you can pay with your credit card if you don’t have a PayPal account.

Your personal data will be used to process your order