Registration Form continued,  (Page 2 of 2) More information: edmond.vonsaenger@gmail.com

Travel
Travel from:   Overseas   Europe 
 
By air using_________________________airline
 
Flight no:___________ From:_______________
 
By car, from:_________________________
 
By train, to:  St RaphaŽl 
 
From:__________________________________
 
I arrive on Sunday at_______hours at Nice Aiport.
And whish to book transportation to:  
  St-RaphaŽl
Health problems/accident








In case of emergency please inform:
 


Phone:

Options:
Pay supplement for single room at hotel:
 
 Economy class     First class
 Share a room in family/Hotel with:
 Lunch with teaching staff
 Lunch for youth course 13 - 17 y.o.
 Light lunch for children 4 - 12 y.o.


 Participate in the Wine Skills and Tasting
     Course at Ch‚teau St-Martin
 Aerobics at the Satori Gym
 Saturday Cooking classes
 Week-end Discover tour in Paris
 Other activities
 Which ones_____________________


Invoicing your business:
As you may know, your firm is entitled by law to deduct the tuition fees for your course from their annual tax declaration.
You will get an official invoice from our school prior to your departure from Saint-Rapha
Žl.

Please invoice:_______________________________
 
Firm
and address:_________________________________
 
Invoice in which
currency?_______________________________
 
Special
instructions:__________________________________
 
With this registration form sent by air mail or fax, and with the registration fee of Euro 230 by an International money Draft sent by air mail to the addresses in Europe, I hereby confirm my participation in your language course:
Until the 12th of June:
France Langue & Culture
c/o v.Saenger
Malmvägen 12A
191 61 Sollentuna
Stockolm / Sweden
Tel/Fax : + 46 8 35 06 98
edmond.vonsaenger@gmail.com
 After the 12th of June:
 by fax or online please !
 France Langue & Culture
  v. Saenger, Vallis Curans B
 83700 Saint-RaphaŽl / France
 Tel : + 33 612 88 78 95
 Fax : + 33 494 40 57 10
edmond.vonsaenger@gmail.com

Participant:
 
...............................................................................
 
Date........................................................................

Parents if participant is a minor:
 
...............................................................................
 
Date........................................................................