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Last name
First name
Address
Telephone
C.P.
City/Town
Country
Occupation
E-mail
Sex
Nationality
Passaport Number
Date of Birth (dd-mm-aa)
Beginner
Intermediate
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At School
In my Accommodation
Courses always begin on Mondays and finish on Fridays. Please select only a Monday as the first day of your course.
Standard Course (10 hours/week) - maximum 8 students per group
Standard Course (20 hours/week) - maximum 8 students per group
Intensive Course (25 hours/week) - maximum 8 students per group
Super-intensive Course (30 hours/week) - maximum 8 students per group
Specialty Courses: Selected Course(s)
D.E.L.E. Preparation
Commercial Spanish Course (Tourism)
Preparation Course For The Chamber of Commerce Official Certificate
One to One
Please select number of weeks:
Select weeks 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 22 23 24 25 27 28 29 30 31 32 33 34 35 36
Desired Start Date
Would you like to book MediterrĂ¡neo Spanish Centre accommodation?
Yes
No
Apartment(Shared with students of the school)
Single room
Double room
Suite room
Individual Flat
Spanish university students
Spanish Host Family
Family single room, breakfast
Family double room, breakfast
Family suite room, breakfast
Family single room, half board
Family double room, half board
Family suite room, half board
Family single room, full board
Family double room, full board
Family suite room, full board
Smoker
Non smoker
Day
Month
Year
If you wish to be picked up upon arrival please indicate mode of arrival and the relevant details
Plane
Train
Bus
Flight Number
City or origin
Time of arrival
Would you like to purchase our cancellation guarantee, allowing you to cancel without charge for the reasons specified in point 2 of the General Conditions? Cost: 5% of the total invoice amount
Do you want to take out our medical insurance mentioned in point 7 of the General Conditions?
Cost: 25€ per person/4 weeks .
How did you hear about our school?
Internet
Please specify
Friends / family
Brochure
University / College
Agency
Do you have any allergies or medical requirements that we need to know about? Do you need a special diet?
Comments
1-
By bank transfer in euros to:
Bank account :
Bankia
Account Name :
MEDITERRANEO SPANISH CENTRE
Codigo IBAN :
IBAN ES07 2077 0065 4231 0204 4832
Account number :
2077-0065-42-3102044832
Swift :
CVALESVVXXX
Pursuant to legislative decree no.15/1999 (protection of personal information), you are informed that: Your personal information will be mechanized and incorporated into a database for the reception of Mediterráneo Spanish Centre. messages. The information is exclusively for Mediterráneo Spanih Centre internal use. If you have given us such information, you have the right to access, change or cancell the information. By sending us your personal information, you consent Mediterráneo Spanish Centre to file It.
Mediterráneo Spanish Centre | Head Office: Ramón Gordillo 5 (Entresuelo) 46010 Valencia, Spain Telephone 24h: +34 600 88 61 05 | Fax: +34 963 608 858 | E-mail: info@mediterraneocentre.com © 2000 - 2009 - Mediterráneo Spanish Centre | Legal | All rights reserved
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