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

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Credit Card VISA or MASTERCARD (after the confirmation from the school)

You have to choose a method of payment

5 - General conditions

(*)

You have to read and accept the general conditions