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INSCRIPTION FORM


Please fill in the following INSCRIPTION FORM:

Name:

Surname:

Gender:

Male Female

Date of birth:

E-Mail:

Confirm your E-Mail:

Address:

ZIP Code:

City:

Country of origin:

Telephone:


English course :

I want to enrol for:

Number of weeks:

Starting Date:

Accommodation:

Comments:


My level of English is :

Please give us some more information about where you have studied English and how many weeks/ months/years:


Payment:

Payment is always in advance. The total amount has to be payed not over 3 weeks before the Course starts.
Payment forms are:
- Bank Transfer
- Credit Card

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