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Surname
Name
Date of Birth
Sex M F
Company / University
Street
City / Town Postcode
Country
Telephone Fax
E-mail
LEVEL OF SPANISH
Beginner False Beginner Inter 1 Inter 2 Advanced
I wish to attend the following course:
Intensive Language and Culture
One to One Focus
Week-end Immersion
Students may begin a course on any Monday
A Taste of Spain
ACCOMMODATION
With a family, Half-board With
a family, Full-board
Non-Smoking Smoking Special
Diet
Home w/children No
Children No Pets
Hotel Hostel Apartment
I shall be arriving on month day year
I shall be departing on month day year
My flight arrives in Santander Bilbao Madrid at hours
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