Previous Page  25 / 27 Next Page
Information
Show Menu
Previous Page 25 / 27 Next Page
Page Background

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