Please read the GENERAL TERMS & CONDITIONS and fill in the following form:

PERSONAL INFORMATION:

* First Name:			* Email:
* Family Name:			* Tel:
* Date of Birth:			Fax:
* Country:			* Profession:
Address:			* Mother    Tongue:
* Town / City:			* Spanish    Knowledge:	Select an option..... None Little Moderate Good Very Good
* Country:			* How did you    find us?	Select an option..... Internet A friend Brochure Other options

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COURSE SELECTION

* Course start:

Select a date..... 7 December 2010 13 December 2010 20 December 2010 27 December 2010 3 January 2011 10 January 2011 17 January 2011 24 January 2011 31 January 2011 7 February 2011 14 February 2011 21 February 2011 28 February 2011 7 March 2011 14 March 2011 21 March 2011 28 March 2011 4 April 2011 11 April 2011 18 April 2011 25 April 2011 3 May 2011 9 May 2011 16 May 2011 23 May 2011 30 May 2011 6 June 2011 13 June 2011 20 June 2011 27 June 2011 4 July 2011 11 July 2011 18 July 2011 26 July 2011 1 August 2011 8 August 2011 16 August 2011 22 August 2011 29 August 2011 5 September 2011 12 September 2011 19 September 2011 26 September 2011 3 October 2011 10 October 2011 17 October 2011 24 October 2011 31 October 2011 7 November 2011 14 November 2011 21 November 2011 28 November 2011 5 December 2011 12 December 2011 19 December 2011 26 December 2011

Duration:

Select an option..... 1 week 2 weeks 3 weeks 4 weeks 5 weeks 6 weeks 7 weeks 8 weeks 9 weeks 10 weeks 11 weeks 12 weeks 13 weeks 14 weeks 15 weeks

GENERAL SPANISH

		Foundation
		Foundation 5
		Foundation 10
		Individual	>>	classes per week:

SPECIFIC SPANISH

		Spanish for Doctors	>>	classes per week:
		Spanish for Companies	>>	classes per week:
		Preparation for D.E.L.E	>>	classes per week:
		Teacher Training	>>	(Contact TILDE)
		General Revision I	>>	Date:	Select a date..... 28 February 2011 30 May 2011 29 August 2011 21 November 2011
		General Revision II	>>	Date:	Select a date..... 7 March 2011 6 June 2011 5 September 2011 28 November 2011

UNIVERSITY PROGRAMS (Contact TILDE)



COMPANIES (Contact TILDE)



ANY COMMENTS

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ACCOMMODATION OPTIONS:

Arrival Date:

Departure Date:

Total nights:

Accommodation:

yes

/

no

				Tell us your preferences:
		HOSTEL
		HOTEL
		Stay with family
		Flat shared
		Rent Apartment

Airport pick up: (85,00 €)

yes

/

no

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Payment (choose your option):

100 € Deposit + 50 € registration fee. Total = 150 €

Money Transfer

            OUR BANK: Banco Santander. Agencia 1892. Plaza de Canalejas,1. 28014 Madrid. España
            PAYABLE TO: Centro de Estudios Hispanos TILDE S.L.
            ACCOUNT NUMBER: 24 1054 8874
            SWIFT CODE: BSCHESMM
            IBAN (International Bank Account Number): ES62 0049 1892 6124 1054 8874
            (Please send by a email or fax a copy of the transfer with your name)

Credit Card

            We will contact you for your personal information.

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I accept the GENERAL TERMS & CONDITIONS of TILDE