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Mediterraneo Spanish Centre

  • C/ Poeta Querol nº5 Valencia 46002 Spain

Telephone

+34 902 10 14 95

Telephone 24h.

+34 600 88 61 05

Fax

+34 96 360 88 58

E-Mail

Enrolment Form - Online Booking

Destination

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

Desired Courses

Choose your course:
 
Start date and duration

Please select number of weeks:

Desired Start Date

Accommodation

Would you like to book Mediterráneo Spanish Centre accommodation?

Yes

No



 

Accommodation:

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

Enrolment fee: 55 €.
 
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

 

By bank transfer in euros to:

Bank account: Caja de Ahorros de Valencia, Castellón y Alicante, Bancaja.

Account Name: MEDITERRANEO SPANISH CENTRE

Codigo IBAN: IBAN ES 96 2077 0065 4831 0151 2443

Account number: 2077 0065 48 3101512443

Swift: CVALESVVXXX

 Branch Address: Gascó Oliag 4 - 46010 Valencia, España
 

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.