ENROLMENT FORM

Step 1

Surname

Name

M
F

Date of birth

City of birth

Nationality

Occupation

Address

City

Country

Tel

Fax

E.mail

Skype

Phone N° in Italy

Have you ever studied Italian?

Yes
No

For how long?

Step 2

Beginning of course

Number of weeks

Step 3

Course payment:

100% by bank transfer
25% deposit by bank transfer
100% by credit card
100% by Paypal
25% deposit by Paypal

Step 4

Accomodation

-Shared apartments
-Family stay with breakfast
-Family stay with breakfast and dinner
-Private apartment
-Hotel or B&B

Special requests:

Step 5

Regulation:

I accept the regulations

Privacy:

I accept the privacy policy

How did you know about us?

Internet
Friends
Advertising
Agency
Italian Cultural Institute

Other

Privacy I authorize the InClasse to include my personal data on a mailing list for the purpose of enrolment. I may also, periodically, receive informative, publicity or promotional material. I may at any time, in accordance with Italian law (art. 13, 675/96), request that my personal data be removed from the mailing list of the School InClasse, by sending a written request by email, fax or priority mail.

Regulations