Inscription form

1. About You
 
Title* Mr Mrs Miss 
 
First Name*
 
Name*
 
Address
 
City
 
Postcode
 
Country
 
Phone
 
Fax
 
E-mail*
 
Date of birth
 
Nationality
 
Passport Number
 
Do You have knowledge of Spanish ? Yes   No 
 
Did You visit Spanish classes before ? Yes   No 
 
When?
(use SHIFT to select more tan one option)
Month
Year
 
2. Course
 
Start* (day)
Start* (date)

 
End (day)
End (date)

 
Previewed Interruption
from
(date)
to (date)


 
Total time of studies*  weeks and  days
 
Lessons per week* 20 25 30 35
 
3. Accommodation
 
Tipe of accommodation*
 
Start* (day)
Start* (date)

 
End (day)
End (date)

 
4. Transfer from the airport
 
Transfer needed* Yes No 
 
Flightnumber
 
Arrival (date)
Arrival (time)

 
5. Remarks

Within an inscription, You will safe book your studies, from the date You wrote in this form.
If You will change the dates of the beginnig, please send us an e-mail within anticipation. We will be able to accept cancelations until one week befor Your course starts. Thank You.
 
Yes I agree
I do not agree