Italian Language Schools Scuola Leonardo da Vinci. Learn Italian in Italy

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ITALIAN LANGUAGE SCHOOL "Scuola Leonardo da Vinci"
Learn Italian in Italy in Florence - Milan - Rome - Siena
Officially authorised by the Italian Ministry of Education

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Learn Italian in Italy at our Italian Language Schools

SECURE REGISTRATION fOR
SCUOLA LEONARDO DA VINCI COURSES

ABOUT SSL CERTIFICATES

PART 1: PERSONAL DETAILS

	Mr. Mrs. Ms.
First Name:
Family Name:
	Date of Birth:
Day:
Month:
Year:

Nationality:
Mother Tongue:
Profession / Studies:
Home address:
City:
Zip code:
Country:
Phone:
Cellular:
Fax:
E-mail:
In case of emergency please inform:
How did you hear about Scuola Leonardo da Vinci?
If you find us on Internet, please specify where:
If "others" or "via an agency", please specify:
Why did you choose Scuola Leonardo da Vinci?

PART 2: ITALIAN SUMMER COURSES

I wish to enroll to the Italian + Fashion/Design Summer Course in Milan:

Choose the Art, Fashion & Design course (Introduction or Intermediate level) :

Would you like to enroll to additional courses?

Special request/observations:

PART 3: MY KNOWLEDGE OF ITALIAN

Have you already studied Italian?	No Yes
Self evaluation: (A1/A2... = Ability level according to the assessment scale of the European Language Portfolio)

PART 5: PAYMENT

Note that if you are registering more than 21 days before the beginning of the course, we require the payment of the registration fee of 70 Euro. If you prefer, you can also pay the total course fees at once.

Note that if you are registering less than 21 days before the beginning of the course, we require the payment for the total course fees.

PART 5: PAYMENT BY CREDIT CARD

Please charge the ammount of: Euro
by means of the following Credit Card:
Credit Card Number:
Credit Card Verification Number:
Expiring Date, Month:
Expiring Date, Year:
Card's holder Name and Surname (exactly as appears on the Credit Card):

PART 6: TO SEND ENROLLMENT

My registration implies the acceptance of the General Conditions of Participation as mentioned in the Scuola Leonardo da Vinci web site and brochure.
Place:
Date:
I herewith confirm my enrollment at Scuola Leonardo da Vinci:

PART 7: ABOUT THE PRIVACY

Consent in accordance with Art. 23 of D. Lgs. 196/2003. The person concerned, having received the information furnished by the data processing owner in accordance with Article 13 of D.Lgs. 196/2003, hereby consents to the processing of his/her personal data for the purposes indicated in the aforesaid informative note. He/she also consents to the communication of his/her personal data for the purposes and to the subjects indicated in the informative note.