First name:
Surname:
Address:
Town:
Country:
Zip Code:
Telephone:
Fax:
Email:
Date of birth:
Nationality:
Occupation:
Mother tongue:
Other languages known:
   
KNOWLEDGE OF ITALIAN
 
none basic intermediate good very good
   
Studied when and where:
 
years: months: hours/day:
 

I would like to enrol in the following course:
 
GROUP LANGUAGE COURSES
 
G 80 - BASIC INTENSIVE COURSE
GS 96 - SUPER INTENSIVE COURSE
GS 120 - SUPER INTENSIVE COURSE
G+I/5 - COMBINED COURSE
G+I/10 - COMBINED COURSE
GD - EXAMINATION COURSE
GC - ITALIAN & CULTURE COURSE
 
from: to: weeks:
   
SPECIAL COURSES
 
GF - ITALIAN & COOKING LESSONS
from: to: Weeks:
INT - ITALIAN LANGUAGE & INTERNSHIP:
Part One: Italian language courses (Group Course)
Part Two: Internship
from: to:
CC - BUSINESS ITALIAN    
from: to: Weeks:
G+D - ITALIAN & DRAWING FROM CULTURE
from: to: Weeks:
40+ - COURSE FOR LIFELONG LEARNERS (40+)
from: to: Weeks:
       
INDIVIDUAL COURSES 
       
I - ONE-TO-ONE COURSE LESSONS INCLUDING LUNCH
 
Lessons/day: from: to: weeks:
 
ACCOMMODATIONS
 
I would like the school to arrange accommodation for me in:
 
Homestay Shared Apartment Ind. Apartment (standard)
Apartment (higher standard) Residence Hotel
Single room Double room Breakfast
Half board Use of kitchen    
 
Note:
   
How did you find out about Centro Fiorenza?
 
Please send me your detailed brochure:
by e-mail
by mail
 
 
 
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