Register form

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)

 I wish to attend two weeks
 From June 08 to June 22
 From June 22 to July 06
From July 06 to July 20
 From July 20 to August 03
 From August 03 to August 17
 From August 17 to August 31


 I wish to attend three weeks
 From June 08 to June 29
 From June 29 to July 20
From July 27 to August 17

 
 I wish to attend four weeks
 From June 08 to July 06
 From July 06 to August 03
  From August 03 to August 31

 

My current ability in French is .............................
Previous French education ...................................   I attended years of French in
If University ...............   years ago.
I feel that I need training in ................................
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 shoreApt/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
Saturday Cooking classes

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.
You will get an official invoice from our school prior to your departure from Saint-Raphaël.
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