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Яндекс.Метрика
Application form

Application form

If you wish to take a course at EUREKA, please send us your application form. You can find the application form on this link.

 


Mr. | Ms. | Mrs.
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First name(*)
You have to indicate a first name

Last name(*)
You have to indicate a last name

Adress(*)
You have to indicate your adress

Postal Code(*)
You have to indicate your postal code

City(*)
You have to indicate your city

State
You have to indicate your state

Country(*)
You have to indicate your country

Passport(*)
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Date of birth(*)
/ / You have to indicate your date of birth

Telephone(*)
You have to indicate a telephone

Fax
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Email(*)
You have to indicate a correct email

Comments
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1 - Choose your course

(*)
You have to select a type of course

* The Evening Courses will be closed during July and August.

2 - Choose your accomodation

(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 +)

(*)
You have to choose a type of accomodation

From:
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To:
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3 - Mark your preferred options

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4 - Extras

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5 - Other courses

(*)

You have to indicate if you prefer an other course

6 - Choose your Spanish level

(*)
You have to select your level

7 - Preferred dates of courses

From:(*)
You have to indicate when you want to begin the course

To:(*)
You have to indicate when your course should end

8 - Special needs:

(*)
Indicate if you have any kind needs that the school should know

You have any kind of special need the school should know before beginning your training,

for instance, food allergy, mobility, etc.

Comments
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9 - Method of payment

(*)

You have to choose a method of payment

10 - General conditions

(*)

You have to read and accept the general conditions