Mediterraneo Spanish Centre (Head Office)

  • C/ Ramón Gordillo nº 5 Valencia 46010 Spain

Telephone 24h.

  • +34 600 88 61 05

Fax

  • +34 96 360 88 58

E-Mail

Enrolment Form

Last name

First name

Address

Telephone

C.P.

City/Town

Country

Occupation

E-mail

Sex

Nationality

Passaport Number

Date of Birth (dd-mm-aa)


Your approximate level in Spanish

Beginner

Intermediate

Advanced

Superior

 

Where you want to receive your courses:

At School

In my Accommodation


Desired Courses

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

Start date and duration

Please select number of weeks:

Desired Start Date

Accommodation

Would you like to book Mediterráneo Spanish Centre accommodation?

Yes

No

Apartment(Shared with students of the school)

Single room

Double room

Suite room

Individual Flat

Spanish university students

Single room

Double room

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

Date of Arrival

Day

Month

Year

Pick up service:

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

Cancellation Guarantee

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

Yes

No

Medical Insurance

Do you want to take out our medical insurance mentioned in point 7 of the General Conditions?

Yes

No

Cost: 25€ per person/4 weeks .


Additional Information

How did you hear about our school?

Internet

Please specify 

Friends / family

Brochure

University / College

Agency

Please specify

     

Do you have any allergies or medical requirements that we need to know about? Do you need a special diet?




Comments



 

Fees may be paid in the following ways

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.