Learn Spanish in Spain Salamanca | COLEGIO UNAMUNO | Spanish Courses in Spain Salamanca Santander

A place of learning
Enrolment form

STUDENT INFORMATION

Name and Surname
Male Female Date of Birth (dd/mm/yyyy)
Passport n°
Nacionality
Address
Postal Code
City
Country
Telephone
E-mail
Fax

COURSE INFORMATION

Knowledge of Spanish:
I would like to register in the following courses:
   
  
Courses dates (dd/mm/yyyy)
In Santander from to Weeks
In Salamanca from to Weeks
Notes

ACCOMMODATION INFORMATION

Homestay: Double Room Single room
  Full board Half board
Residence hall: Double Room Single room
  Full board Half board
Student flat: Double Room Single room
Private apartment: For one person For two person*
*Booking together
Accommodation dates (dd/mm/yyyy)
In Santander, from to Days
In Salamanca, from to Days
Do you have any special requirements with respect to your accommodation?

IN CASE YOU HAVE AN EMERGENCY DURING YOUR COURSE, WE MUST CONTACT WITH:

Name and Surname
Male   Female What relation is this person to you?
Address
Postal Code
City
Country
Email
Telephone
Fax
How did you hear about us?

HOW WILL YOU PAY THE DEPOSIT?

Bank transfer. Date of the transfer
Postal order. Date of the postal order
Travel Cheque
International check
Credit Card*:
Visa Mastercard
*I´ve used this form to pay.
 
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