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Application: Application form

If you would like to take a course in our school, please send us your application form.


Application form



Mr. | Ms. | Mrs. :

First name :

Surname :

Address :

Postal code :

City :

State :

Country :

Passport :

Date of birth :

Telephone :

Fax :

E-Mail :

Comments :


1 - Choose your course :


2 - Choose your accommodation :

Accommodation is offered only to students who participate in an Intensive course, a Combined course, a One to One course or a Senior course (50 +).


3 - Mark your preferred options :

  Activities

  Meals

  Airport transfer   ( What is airport transfer? )


4 - Extras :

  Medical insurance (only for groups)   ( What is medical insurance? )

  Cancellation insurance   ( What is cancellation insurance? )


5 - Other courses :


6 - Choose your Spanish level :


7 - Preferred dates of courses :

From     (included)

To       (included)


8 - Method of payment :

  Bank transfer

  Cash due in full on your first day of class


9 - General conditions :

Read the general conditions and accept them.

  Yes, I accept the general conditions.



                                                                   



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Eureka. School of Spanish Language - Spanish Courses, 2013