Thu 28 Aug 2008
Bravo Spanish Language Accommodation School - Honduras Trujillo

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REGISTRATION

If you would like to register for one of our programs please complete the registration form below. Please note there is a registration fee of $50 US payable through Paypal (the rest of the money will be payed at school in cash).

* NAME:
* EMAIL:
* ADDRESS:
Street:
City:
State/Province:
Postal Code:
* TEL. #:
FAX #:
* AGE:
 
MALE:
FEMALE:
 
* COUNTRY:
PROFESSION:
PASSPORT NUMBER:
Which website, agency or other source did you find Bravo Spanish School through?
PICK ME UP AT THE AIRPORT (US$150 additional charge):
YES:
NO:
 
DATE:  
TIME:
AIRLINE
FLIGHT #
LENGTH OF PROGRAM DESIRED (weeks):
CLASS DATES
FROM:  
TO:  
SPANISH LEVEL:
BEGINNER: (no previous Spanish study)
INTERMEDIATE: (future, past, present tense, some conversation)
ADVANCED: (subjunctive, reading, writing, conversation)
WOULD YOU LIKE A HOMESTAY?:
YES:
NO:
Start Date:
FROM:  
TO:  
Would you like to be the only foreign student in your family?:
YES:
NO:
Please state any preferences, concerns or special requirements you may have in regard to your homestay, e.g. dietary requirements etc.
 
 
COMMENTS:

 























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