Online Application...

First Name:
Last Name:

Address:		State:
City:		Zip:
Phone 1:		Phone 2:
SS Number:		Birth Date:
Email Address:
How did you hear about us:
Please select a payment plan:	Full payment of $ 1475.00 Two consecutive monthly payment of $ 750.00 Three consecutive monthly payment of $ 508.33 Four consecutive monthly payment of $ 393.75
Credit Card Type:
Credit Card Number:
Experation Date:		MM/YY
Card Security Code:		Last 3 numbers on the signature line or last 4 small printed numbers on front for AMEX

Refund Policy

You will receive a refund of all monies paid less NON-refundable registration fee of $100.00 if you are accepted into the program. You may cancel on the eighth business day of receiving and reviewing the first lessons by notifying Galileo Travel School via e-mail or telephone. A student who cancels or withdraws from the program may request a refund in writing. If the materials are returned in "unused" condition, the student will receive a refund of their monies paid minus the $25.00 shipping and handling fee. If the materials have been used or written in, the student will be charged the actual cost of the materials plus the $25.00 shipping and handling fee. Any monies then remaining would be refunded.

To Register

Submit this enrollment form for approval.
You will be notified via email if you have been accepted into our program and receive your username and password.
Your textbook and materials will be shipped via USPS.

Please contact us if you have any questions at 408-558-7000.

By submitting this form you agree that all of the information entered above is truthful and accurate, and agree to the refund terms listed above, and student enrollment agreement. To download a copy of the student enrollment agreement, click here. (PDF 52 kb)