INSCRIPTION SHEET

 

Surname:
First Name:
Date of Birth:
Nationality:
Address:
Sex:
City:
Post code:
Telephone:
Country:
E - mail:
Fax:
Profession /studies:

Level of Spanish:
 Beginner
Basic
Intermediate
Advanced

Number of years you’ve been studying Spanish:

Accommodation:
Hotel:
Double room
Single room
Extra nights:
Apartment:
Double room
Single room
Extra nights:
Private house:  
Tell us about your arrival:

I confirm the payment of 90 Euro deposit by:

Bank transfer
Post office giro: Rincón del Verde, Pza. Chato 6 1º Izda 22662 Pueyo de Jaca (Huesca) España

Push the button to the form by e-mail or print and send it to:

Rincón del Verde. S. Miguel s/n. 22661 Panticosa. España

Tel. +34 974 487 347. Mobile: +34 656 638 979