Personal Details
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*First Name:
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*Last Name:
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Passport Number / ID:
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Address:
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City:
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Postal Code:
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State:
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*Country:
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*Tel.
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Fax:
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*Email:
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*Date of Brith:
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*Gender:
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Male Female
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*Nationality:
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Who to contact and phone number in case of emergency:
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*Knowledge of Spanish
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Beginner:
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A1 - A1+ :
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A2 - A2+ - B1 :
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B2 - B2+ :
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C1 - C2 :
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Mother tongue:
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Second, third languages :
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Previous Spanish studies :
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Why do you want to learn / improve Spanish? :
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*Course
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Select your destination :
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Select your course :
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From (dd-mm-yy) :
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To (dd-mm-yy) :
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Number of weeks :
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Accommodation
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*School Accommodation? :
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No
Yes
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Arrival Date :
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Departure Date :
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Extra night :
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I want accommodation :
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Shared Apartament
Family Bed and Breakfast
Family Half board (breakfast and dinner).
Family Full board and packed lunch for groups and juniors.
Private Apartament
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Room :
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Individual
Double room
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Double room sharing with
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Are you smoker? :
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Yes
No
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Other information (diets, alergies, health, request) :
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Transfer service
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Transfer service upon arrival :
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Yes
No
From
Flight #
Arrival time
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Transfer service upon departure :
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Yes
No
From
Flight #
Arrival time
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*Payment
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250 € deposit
Total Payment
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Methods of payment
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Bank Check
Bank Transfer
Credit Card
VISA
Master Card
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Accept the conditions
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