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Group 18
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Registration Form
Registrazione ai Corsi
1
Personal Information
2
Course information
3
Course type
4
Payment
Name Surname
*
Gender:
M
F
Date of Birth
*
Date Format: DD dash MM dash YYYY
Place of Birth
*
Nationality
*
Profession
*
Address
*
City
*
Postcode
*
Country
*
Email
*
Tax Code or VAT registration number
Course start date
*
Date Format: DD dash MM dash YYYY
Course end date
*
Date Format: DD dash MM dash YYYY
Choose the type of course you wish to study:*
*
Standard Italian course
One-to-one lessons
Twin course
Special weekend course
Course for residents
Online lessons via Skype
CILS exam preparation course
Art History course
Opera course
History course
Business course
Junior course
Course for school groups
Italian cookery course
How long would you like to study?
*
(Italiano) Si
No
How long would you like to study?
Knowledge of Italian
*
No knowledge
Little knowledge
Good knowledge
Advanced knowledge
Would you like to book accommodation in Verona?
*
Yes
No
Choose the type of accommodation:
*
Homestay with a family with breakfast and dinner included (from 230 euros per week)
Homestay with a family with breakfast included (from 160 euros per week)
Shared apartment with a private bathroom (from 150 euros per week)
Private apartment – 1 person (from 350 euros per week)
Private apartment – 2 people (from 450 euros per week)
Bed and breakfast (from 40 euros per night)
Hotel with breakfast (from 100 euros per night)
Course payment method:
*
I would like to pay a 25% deposit via secure online payment with Visa or Mastercard
I would like to pay 100% of the course fees in advance via secure online payment with Visa or Mastercard
I would like to pay a 25% deposit by bank transfer
I would like to pay 100% of the course fees in advance by bank transfer
Special Requests:
Consenso al Regolamento
*
*
I have read and accepted the
terms and conditions
.
Consenso al trattamento dati personali
*
*
I have read and agreed to treatment of my personal data according to the Decreto Legislativo 06.30.2003 N. 196 e successivo GDPR 2016/679 -
Privacy Policy
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