Einschreibungsformular

 

Enrolment form Voxlingua

PERSONAL INFORMATION

Last name

First name

Address

City

Country

Date of birth

Nationality

Passport N°

Telephone

E-mail address

ACADEMIC INFORMATION

A - REGULAR COURSES : Dates & prices

Course desired SelectIntensive French, 20 periods per weekFrench & English, 10 periods each per week

My current level in the language

French SelectBeginningIntermediateAdvanced

English SelectBeginningIntermediateAdvanced

Course dates I enrol for the selected class12 Jan 2009 - 27 March 200914 April 2009 - 26 June 200906 July 2009 - 18 Sept 200928 Sept 2009 - 11 Dec 200911 Jan. 2010 - 26 March 201012 April 2010 - 25 June 201005 July 2010 - 17 Sept. 2010

B - TRAVEL & STUDY PROGRAM

Number of students Selectup to 5234

Number of weeks you desire to study?

In Switzerland

In France

Desired starting date

C - COURSES FOR THE LEYSIN COMMUNITY

I register for...

Adult Language classes SelectFrenchEnglish

Writing workshop SelectFrenchEnglish

School help for children My child needs help inFrenchEnglish

PAYMENT AND ENROLMENT

I have read the 2009-2010 general conditions and I fully accept them.

Messagewrite message below

By submitting the enrolment form, you certify you agree with the general conditions of Voxlingua.
After receiving your enrolment form, Voxlingua will confirm by e-mail your enrolment and indicate the total fees to be paid.

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