To our language courses summer 2008

Title :	Mr Mrs Ms
First and Family name :

Address :	ZIP :
City :	Country :
Profession :
Home phone :		Office phone :		Fax :
E-Mail :
Date of birth :	Nationality :

For course in :     Saint-Raphaël

I wish to enroll in the following type of course ....(click on beside drop down menu to choose)	Children's Club 5 - 13 years Student course 14 - 17 years Adult summer course 4 hrs/day Adult intensive course 6 hrs/day Adult hight intensive course 8 hrs/day Private tutorial from 4 hrs/day Seminar for language teachers
I wish to attend two weeks  From 10/06 to 24/06  From 24/06 to 08/07  From 8/07 to 22/07  From 22/07 to 05/08  From 05/08 to 19/08    I wish to attend three weeks  From 10/06 to 01/07  From 01/07 to 22/07  From 29/07 to 19/08    I wish to attend four weeks  From 10/06 to 08/07  From 08/07 to 05/08  From 22/07 to 19/08
My current ability in French is .............................	Pure beginner Can understand and read newspaper text Can speak reasonably fluently and read novels Fluent in speech and reading ability but need polish
Previous French education ...................................   I attended years of French in High School College University
If University ...............	years ago.
I feel that I need training in ................................	Basic French French as a spoken language French writting and grammar
I heard about your school from ...........................

Accommodation in St-Raphaël:

With French family 1/2 pens. double room, youth/adult course
With French family 1/2 pens. single room, youth/adult course
With French family (breakfast only) single room
Family apartment for people
Youth Hostel in St. Raphaël (ages 13-16)
Made my own housing arrangement
Hotel Standard
Economy "Hôtel Jardin des Arènes" (without car)	First Class "Hôtel Flore***"
Economy "Hôtel Du Soleil" (with car)	Apt/hotel "Orion" near the beach
First class "Hôtel Beauséjour**" at the shore	Apt/hotel "Les Ventiennes" 100 m from the school

Travel

Travel from : Overseas Europe

By air using airline      Flight no            From

By car, from :   By train, to :   St Raphaël            From :

I arrive on Sunday at hours at Nice Aiport.
And whish to book transportation to :   St-Raphaël    Nice

Health problems/accident :
In case of emergency please inform : (Name and phone number)


OPTIONS
Pay supplement for single room at hotel :  Economy class  First class
Share a room in family/Hotel with :(Name) 
Lunch with teaching staff
Light lunch for youth course
Participate in the Wine Skills and Tasting Course at Château St-Martin
Aerobics at the Satori Gym
Other activities ........... Which ones


INVOICING YOUR BUSINESS:
As you may know, your firm is entitled by law to deduct the tuition for your course from
their annual tax declaration. We will enclose a bill for your confirmation.
Please invoice :

Firm and address :

Invoice in which currency ?

Special instructions :



I hereby confirm my enrollment at FRANCE LANGUE & CULTURE
as per the above form and accept the general conditions governing the summer sessions.
   
And I hereby confirm that with this registration form by E-mail, I sent this very day the registration
fee of Euro 230 by air mail to the following address in Europe :

Until the end of May : France Langue & Culture PO Box 187 191 23 Sollentuna Stockolm / Sweden Tel/Fax : + 46 8 35 06 98

After the end of May : France Langue & Culture v Saenger, Vallis Curans B 83700 Saint-Raphaël/France Tel : + 33 612 88 78 95 Fax : + 33 494 40 57 10

Name | Course | Accommodation | Travel | Options

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