Online Course 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 / Identity Document Number(*)
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Date of birth(*)
/ / You have to indicate your date of birth

Telephone(*)
You have to indicate a telephone

Email(*)
You have to indicate a correct email

Id Skype:(*)
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Comments
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1 - Choose the number of lessons:
(*)
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2 - Choose your time-table. Please write it in CET (Central European Time), see different timeszones
Starting time-table:(*)
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3 - Choose your Spanish level
(*)
You have to select your level

4 - Method of payment
(*)

You have to choose a method of payment

5 - General conditions
(*)

You have to read and accept the general conditions

 

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