t ih


Italienisch Sprachkurs in ItalienAnmeldung - Italienisch Sprachkurs in Italien
Enrolment Form - Castiglioncello
Please fill all fields signed with *

Please print, sign and send this form to our international office (Sprachreisen nach Castiglioncellocontact address )
or by fax: +49 - 69 - 707 16 05

address:

 
first name*:
name*:
street*:
post code*:
city* :
country*:
profession:
phone number*:
email:
birthday*:
 
please select*:
language course and accommodation language course only accommodation only
   
standard course (30 lessons/week) standard course and individual lessons in the afternoon
(please specify in the field for individual courses)
private course only
(please specify in the field for individual courses) 		1on2 course only (only for two students!)
(please specify in the field for individual courses)
   
individual courses:  
private course
  
number of private lessons:
 1on2 course (only for two students!)
  
number of 1on2 lessons:
 
your course level:
 (the final course level will be determined throughout a test after your arrival)
 
accommodation:
no accommodation
Villa Toscana ("Casa Marina" by the sea) *** Hotel by the sea *** Hotel in the center
single room double room together with:
with bathroom Internet
 
arrival and departure:
arrival: Pick a date
departure: Pick a date
course start: Pick a date
course end: Pick a date
 
exams:
Please enrol me for the following exam: date: Pick a date level:
 
culture courses:
wine seminar painting course sculpture course
   
do you want bed linen and towels? (applies only for accommodation in apartment and Villa Toscana)?: Yes
 
do you bring children?:
yes, in the age of
 

additional information or questions regarding your enrolment:

yes, I accept the conditions:
yes*

yes, I accept the price table:
yes*


date:     ___________________________________________
signature    ___________________________________________

Please click here to print this enrolment