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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 ON THE

ISLAND

OF ELBA

I WOULD LIKE TO ENROLL IN THE FOLLOWING COURSE:

EG

40+

)S(KEEW

OT

MORF

EC

EG+I

EI ONE TO ONE COURSE

YAD/SRUOH

)S(KEEW

OT

MORF

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.

I PAY WITH:

CREDIT CARD BANK TRANSFER CHEQUE CASH

PLACE AND DATE / SIGNATURE

ACCOMMODATIONS

I WOULD LIKE TO BOOK THE FOLLOWING ACCOMMODATION

:

:

PLEASE SPECIFY FOR HOW MANY PERSONS, HOW MANY ROOMS, PRICE LIMIT, ETC

VERY IMPORTANT FOR ME IS...

HOW DID YOU FIND OUT ABOUT CENTRO FIORENZA?:

SINGLE ROOM

DOUBLE ROOM

BREAKFAST

HALFBOARD

NONE POOR ELEMENTARY INTERMEDIATE GOOD VERY GOOD

AGENT STAMP

GROUP COURSES

SPECIAL COURSES

PLEASE SEND

2

PASSPORT-SIZE

PHOTOGRAPHS

INDIVIDUAL COURSES

EI TWO TO ONE COURSE

HOTEL MARINELLA ***

HOTEL GABBIANO AZZURRO ***

HOTEL TAMERICI ****

APARTMENT RENTAL

PRIVATE APARTMENTS

CENTRO FIORENZA -

www.centrofiorenza.com

CFE Elba & Florence

ELBA & FLORENCE