Centro Fiorenza - Brochure

FIRST NAME SURNAME ADDRESS (STREET, CITY, ZIP CODE) ENOHP ELIBOM KROW )EMOH( ENOHPELET LIAM-E XAF NOITAPUCCO YTILANOITAN HTRIB FO ETAD NWONK SEGAUGNAL REHTO EUGNOT REHTOM Ms Mr STUDIED WHEN AND WHERE: YEARS MONTHS HOURS/DAY KNOWLEDGE OF ITALIAN: ENROLLMENT FORM FOR CENTRO FIORENZA IN FLORENCE I WOULD LIKE TO ENROLL IN THE FOLLOWING COURSE: I have taken note and accepted the General Conditions I consent that the Centro Fiorenza uses my personal data as per D.L. n.196, 30/06/2003. PLACE AND DATE / SIGNATURE HOW DID YOU FIND OUT ABOUT CENTRO FIORENZA? GROUP COURSES G80 GS120 GC GS96 G+I GD SPECIAL COURSES GF CC 40+ G+P G+D I - ONE-TO-ONE ONE-TO-ONE YAD/SRUOH )S(KEEW OT MORF LESSONS INCLUDING LUNCH AGENT STAMP ACCOMMODATIONS I WOULD LIKE THE SCHOOL TO ARRANGE ACCOMMODATION FOR ME IN : HOMESTAY SHARED APARTMENT APARTMENT (STANDARD) RESIDENCE APARTMENT (HIGHER STANDARD) HOTEL SINGLE ROOM DOUBLE ROOM BREAKFAST HALF BOARD SECOND CHOICE: BUDGET AND NOTES (VERY IMPORTANT FOR ME IS...) TWO-TO-ONE NONE POOR ELEMENTARY INTERMEDIATE GOOD VERY GOOD FROM TO WEEK(S) FROM TO WEEK(S) I PAY WITH: CREDIT CARD BANK TRANSFER CHEQUE CASH PLEASE SEND 2 PASSPORT-SIZE PHOTOGRAPHS CENTRO FIORENZA Italian Language and Culture Courses Florence and the Island of Elba CENTRO FIORENZA FIRENZE CFE - FLORENCE & ELBA CFE )S(KEEW OT MORF S16

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