SprottShaw International Language College nd 2 Floor530 Seymour Street, Vancouver, BC, Canada V6B 3J5
Phone: (604) 6051375 Fax: (604) 6051575
Email: denisb@ssilc.com LOCATION (check one): [ ] Vancouver [ ] Victoria
Test date requested:
(See MELAB testing
schedule)
First Name: Last Name:
Phone number: Email address:
Be sure to include the following: MELAB ID Form
MELAB TESTING REGISTRATION Form
A current photograph of yourself clearly showing your face (a passport photograph size)
Method of payment (Please complete the following): I’ve enclosed a bank or postal money order (in Cdn dollars) payable to the SprottShaw
International Language College. Please Charge my credit card:
(Circle one) VISA MASTERCARD
Name on card:
Card Number: Expiry date:
Signature:
Cash
Calculation of test payment to the SprottShaw International Language College:
Canadian $
Your Payment
(Cdn. $)
MELAB: Written test only
$100.00
Written & Speaking test
$150.00
Courier Charge (mandatory)
$20.00
$20.00
* To courier your test for next day delivery to Michigan for marking
Rush Marking Service (Optional)
Total Payment
$80.00
$
REFUND POLICY:
Any cancellations and changes must be notified a minimum of 10 business days prior to the test date. You will be charged a $25 CAD administration fee once an application has been processed.
If you cancel or change your test date with less than 10 business days notice, all fees will not be transferable or refundable. Please notify our office by phone, fax, or email prior to your test date if you wish to cancel or change.
Applicant’s signature: _________________________
For Office Use Only
Method : ________________ Authorization# :____________ Receipt # :_____________
Date : __________________ Admin. initial : _____________