New enrolment form 2016 sept

Transcription

ENROLMENT FORM
ENGLISH LESSONS
First name/prénom______________________________________________
Surname/nom__________________________________________________
DoB/né le______________________________________________________
Address/adresse_________________________________________________
Tel:____________________________________________________________
E-mail_________________________________________________________
Niveau (langue étrangère) _________________________________________
Year/Grade (native speakers) ______________________________________
Legal guardian/responsable légal___________________________________
Signature_______________________________________________________
Price/Tarifs
Tuesday evenings/mardi soir ou
Wednesday afternoons/mercredi après-midi
1 hour/1 heure
18€
10 hours /10 heures 170€
30 hours/30 heures 460€
Please bring this form with you to the first lesson on Tuesday 13th or Wednesday
17th September or send it by e-mail to [email protected]
Gillian Le Coz Tel: 04 42 32 44 61/ 06 13 13 30 99
[email protected]
everything-british.com

New enrolment form 2016 sept

Transcription

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