ONLINE APPLICATION / ENROLMENT FORM

12 weeks • Standard Course • starting 07/01/'08 Price for course only 1450€ 1210€ Our policy is that all the information you provide us is kept strictly private and confidential and is used only in preparing your Spanish course Application. We do not in any way sell, trade, or distribute any personal information, address, e-mail, or telephone numbers with any organizations, governments, or companies. Gender: male female * Last Name: * First Name: * Age range: 16 to 25 26 to 35 36 to 45 45 plus * Street: * Post Code: * City: * Country: * E-Mail: * Contact Phone:     Knowledge level: None - First time Very litle Fair Good Very good Course level: Beginner - only 1st monday of month Low-intermediate Intermediate Advanced Superior (expert) Preferred town: Malaga Alicante Sevilla Salamanca Barcelona Starting date:     I found out about LastMinute-ES through:     Requests / Suggestions   ···Supplement for individual room 25 €/week Individual room   I agree with the Inscription Conditions.

Declaration:
I declare the information set out in this application and documents that support this application are true and correct. I understand that any false information given may invalidate my enrolment.I accept the terms and conditions of the Centre and agree to abide by the destination School and Centre’s rules and regulations.

Please note: If you wish to enrol for further Spanish courses you must make a separate application at your destination.