JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Number Theory - 2024-2025
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Student's Email Address
*
Your answer
Student's Full Legal Name (no aliases or nicknames)
*
Your answer
Grade
*
Your answer
School currently attending
*
Your answer
City and Country
*
Your answer
Parent/Guardian's Full Name
*
Your answer
Parent/Guardian's Email Address
*
Your answer
Parent/Guardian's Phone Number
*
Your answer
The tuition for this class is $6000. Please indicate how you would like to proceed with the payment. The deadline to submit your first payment is April 20, 2024.
*
Zelle to Lucian Sega, 408-598-7107 (preferred) - payment in full
Zelle to Lucian Sega, 408-598-7107, monthly payment due on the first of each month
Paypal to Lucian Sega, 408-598-7107 - payment in full (please select "send money to a trusted source" in Paypal; failure to do so will result in you being billed PayPal fees separately, on top of the tuition)
Paypal to Lucian Sega, 408-598-7107, monthly payment due on the first of each month (please select "send money to a trusted source" in Paypal; failure to do so will result in you being billed PayPal fees separately, on top of the tuition)
Comments
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
