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Online Lessons Subscription Form

Student Personal Profile

First Name:

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Last Name:

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Select Your Username:

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Password:

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Re-type Password:

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e-mail address:

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(For communication purpose: class notice or if you forgot your password)

Re-type e-mail address:

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Phone:

 

Gender:

   Male Female    Privacy Policy

Mailing Address:

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City:

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State:

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ZIP Code:

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What school are you attending?

 

Grade Level:

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What subject is the most challenging to you?

Math English Science Social Studies

 

Technical Notes: Make sure you meet the minimum system requirements

    Pentium 4 1.2 Ghz or faster CPU

    2 GB of RAM or more

    Windows XP/Vista/7/8/8.1, Mac OS X, Linux (x86), or newer


Membership Type (Select one)
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Cost
Length of Membership
$30
1 Month
$50
2 Months
$100
6 Months
$175
1 Year

Payment Type
      (Processed by PayPal )

Terms and Conditions

I certify that I am 18 years of age or older,

OR

I am under 18 but have the consent of my parent or legal guardian to sign up for these services.

AND

I understand that I am subscribing Online Lessons ONLY, not live homework help services. I have read and I accept the Terms and Conditions of Homeworkhelp.com.

 
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