Boletín de Inscripción

Please fill in this form and send it to us by e.mail. You can also print it and send it by post or fax.

A copy of the postal order in pesetas or bank transfer has to be sent to:
Intereuropa, Español para extranjeros Plaza del Ayuntamiento num. 5 - 46002 Valencia (España)
or you can fax it to the number: +34 963 944 995

For further information contact with

info@intereuropa.es

Family Name
First Name
Date of birth
Address
Country
Nationality
Telephone
Fax
e.mail

Chosen Course		Classes from to
Intensive Course		2 Weeks 40 Hours 4 Weeks 80 Hours Weeks

Semi Intensive Course		2 Weeks 20 Hours 4 Weeks 40 Hours Weeks

Super Intensive Course		2 Weeks 50 Hours 2 Weeks 60 Hours

Individual Course		1 Week 10 Hours 2 Weeks 20 Hours Weeks

Long Term Course		5 Weeks 20 Hours

D.E.L.E. Preparatory Course		2 Weeks 10 Hours 4 Weeks 20 Hours Weeks

Easter Course

Special Course for Groups

Knowledge of Spanish		none elementary intermediate advanced
Comments:		(vegetarian, smoker, allergies...)

Accomodation

		None
		from to
Shared Apartment		(only for people over 18)
		single room double room

University Residence		single room bed and breakfast half board full board
		double room bed and breakfast half board full board

Family		single room bed and breakfast half board full board
		double room bed and breakfast half board full board

Hotel

Guest House