Check in online. Registration Form. Spanish Courses Colegio Delibes

REGISTRATION

DETALLE DEL REGISTRO

PERSONAL DATA

Name		Last Name
Address
City
Code		Country
Telephone		Fax
E-mail		Date of Birth
Sex		Profession

SPANISH COURSES

Knowledge of Spanish Language

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From	To	Weeks	Hours

ACCOMMODATION

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Weeks

DELIBES HEALTH-CLUB

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OBSERVATIONS

How did you hear about the Colegio Delibes?
What is the full address of the centre where you have studied Spanish Language?
Do you wish to receive information about medical insurance during your stay at Colegio Delibes?
In case of emergency please contact...

SECURITY CODE

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Security Code

COLEGIO DELIBES - Avda. Italia, 21 - 37007 Salamanca (Spain). Tfno: +34 923 120 460 - Fax: +34 923 120 489 - Email: delibes@colegiodelibes.com

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