Enrolment form


Home page

Location

Courses

Calendar

Course fee

Enrolment details

Evaluation-Test

Conditions

Enrolment form - Payment

Student Testimonies

Housing

Links


 

 

Send a message

Email

 


Please wait until you have received confirmation of availibility before sending this form.

Payment must be sent with this form.

Last Name

First Name

Nationality

Sex

M -F

Date of birth

(day/month/year)

Profession

Street Address

Post/Zip code

Town

Country

Telephone

Fax


Adress in France

Post/Zip code

Town

Telephone

Fax :

Mother tongue

Other languages spoken

 


ENROLMENT


SEMI-INTENSIVE COURSE

  • 2 weeks : 260,00 euros
    3 weeks : 310,00 euros
    1 month : 370,00 euros
    2 months : 703,00 euros
    3 months : 999,00 euros
    4 months : 1332,00 euros

I would like to enrol :

from (day/month/year)
to (day/month/year)
(
See calendar) 


Lessons :

I pay 40% of the total cost of lessons.
     OR
I prefer to pay the total cost of lessons.

 


E-mail
Required field for the payment  warning.gif 

Home page | Location | Courses | Calendar
Course fee | Enrolment details | Evaluation-test | Conditions
Enrolment form - Payment | Student Testimonies | Housing | Links