ENROLMENT
DETALLES PERSONALES:
Name
Last Name
Nationality
Sex
Masculine
Feminine
Date of birth
Profession
Address
Telephone
E-mail
COURSE:
TYPE:
Individual
Group
Spanish Classes in:
Quito
Coast
Jungle
Start Date
Finish Date
Hours of study
4
5
6
7
Level:
Beginner
Intermediate
Advanced
Accommodation:
Family
Hotel
Other
Arrival date with family:
Observations:
Do you wish to be met at the airport
Yes
No
Flight deteils
NB: The enrollment form together with the US$ 25 prepayment must be completed and returned to reserve your course. No reimbursement is made in the case of cancellation.