Enrolment Form
Enrolment form for Italian language courses at Il Sasso language school in Montepulciano, Tuscany. Please complete the form indicating your personal data, the course and the accommodation type, the dates and the method of payment.
Please note: fields marked with
*
are mandatory.
title:
Mr
Ms
name:
*
surname:
*
address:
*
postal code:
city:
*
country:
*
phone/cell phone:
email:
*
date of birth: [dd/mm/yyyy]:
Language courses:
Date of course: (
from
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(dd/mm/yyyy)
Date of course (
to
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Knowledge of the Italian language:
none
little
good
very good
Course type:
Standard course
Standard course + 6 hours of private lessons
Standard course + 10 hours of private lessons
Course standard plus
Intensive course
Package of 6 hours of private lessons
Package of 10 hours of private lessons
Conversation at lunchtime
Package of 10 hours of privates for 2 people
Italian for special purposes
hours
Preparation for Certificates
hours
Cultural courses:
Date of course:(
from
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2011
2012
2013
(dd/mm/yyyy)
Date of course: (
to
):
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2011
2012
2013
(dd/mm/yyyy)
Please select course type:
--Select--
Wine course
Italian literature
Italian history
Italian art history
Cooking classes
None
Accommodation:
Please select type:
--Select--
basic apartment for 1 person
basic apartment for 2 people
luxury apartment
single room in shared flat
homestay with breakfast
homestay with half-board
None
Arrival:
Date of arrival:
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2011
2012
2013
(dd/mm/yyyy)
Approximate time of arrival:
pick up from:
Payment:
I will pay the deposit of:
Euro 200.00
by:
credit card
banker's draft made out to Società Sophia s.n.c., Via di Gracciano nel Corso 2, 53045 Montepulciano (SI), Italy
Attention:
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Further messages / Titel of culture or cooking course
Important:
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Yes, I agree to the treatment of my personal data
[
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Il Sasso
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Italian Language School Il Sasso
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price list 2012 (470kb)
price list 2012 (470kb)