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

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1 - PERSONAL DETAILS 2 - ITALIAN COURSE 3 - ITALIAN KNOWLEDGE
4 - ACCOMMODATION 5 - TRANSFER 6 - PAYMENT

PERSONAL DETAILS

Title:

First name:

Family name:

e-mail address

Nationality:

Date of Birth

Day:

Month:

Year:

Address

Street:

City:

Country:

Zip code:

Tel.1:

Tel.2:

Fax:

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PART 2: ITALIAN LANGUAGE COURSE

I wish to enroll at the school located in:

Please fill in one application form for each city of choice in case you want to enroll for different locations.

N.B.: You can book several courses. Please use the following 3 fields.

Course 1: I wish to enroll in the following course:

If you enroll for a "Professional Course",
please select the professional field:

Starting dates:

Day:

Month:

Year:

Number of weeks:

PART 2b: COURSE 2

Course 2 - I wish to enroll in the following course:

If you enroll for a "Professional Course",
please select the professional field:

Starting dates:

Day:

Month:

Year:

Number of weeks:

PART 2c: COURSE 3

Course 3 - I wish to enroll in the following course:

If you enroll for a "Professional Course", please select the professional field:

Starting dates:

Day:

Month:

Year:

Number of weeks:

PART 2d: ADDITIONAL COURSE

Would you like to enroll to additional courses:

Special request/observations:

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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.

I will pay Euro

through the following method of payment

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:

OTHER INFORMATION (not obligatory)

Mother tongue:

Profession / Studies:

HOW DID YOU HEAR ABOUT SCUOLA LEONARDO DA VINCI

How did you find Leonardo da Vinci schools?

If you find us on Internet, please specify where:

If "others" or "via an agency", please specify:

Why did you chose Scuola Leonardo da Vinci?

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.

I herewith confirm my enrollment at Scuola Leonardo da Vinci I don't accept to send my details

To send the enrollment is obligatory to accept

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Study Abroad in Italy - www.scuolaleonardo.com

ITALIAN LANGUAGE SCHOOL "Scuola Leonardo da Vinci"

Learn Italian in Italy in Florence - Milan - Rome - Siena

Officially authorised by the Italian Ministry of Education

ITALIAN LANGUAGE SCHOOL "Scuola Leonardo da Vinci"

Learn Italian in Italy in Florence - Milan - Rome - Siena