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Registration - Language course - Royan

Personal Details

Name *
Surname *
Date of birth *
Gender *
Nationality *

Address

Address *
Zip Code *
City *
Country *
Phone home *
Phone office
Mobile phone
Fax
E-Mail *

Billing address (if different)

Company
Address
Zip,City
Country

Course Details

Location
Course type
Proficiency level
Number of weeks *
Course from *
until *
Bildungsurlaub

Accommodation

Accommodation type
I would like to share double/twin room with
Vegetarian food
YesNo
Allergies
Smoker
YesNo
Accommodation from
until

Travel Information Details

Arrival

Arrival: Airline
Arrival: Airport
Arrival: Flight number
Arrival: Date
Arrival: Time

Departure

Departure: Airline
Departure: Airport
Departure: Flight number
Departure: Date
Departure: Time
Transfer

Miscellaneous

Promotion-Code
Info for school
How did you find us?
on the recommendation of... / Other

Confirmation

After your enrolment you will get an automated response to your e-mail-address with your enrolment details. Should you not receive this e-mail, there was a technical error. In this case, please repeat the enrolment.

Declaration

I hereby enrol for the above-specified language course with/without accommodation and I explicitly accept the contract conditions



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