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About you

First Name
Last Name
Sex Male
Female
Profession
E-mail
Birth date
Nationality
Address
Zip code
Town
Country
Telephone
French level Complete beginner Basic user Independant user Proficient user
Mother tongue
Other languages spoken
Person to contact
in case of emergency

Courses

Trip weeks
From (dd/mm/yyyy)
To (dd/mm/yyyy)
Lessons weeks
From (dd/mm/yyyy)
To (dd/mm/yyyy)
Group lessons 4 hours per day
One-to-one tuition hours per day

 

Flight informations

Arrival Departure
Airline Company
Flight number
Day
Hour

 

Payment

Deposit 500€ Total cost

I’ve read and accepted the terms and conditions.

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