Study Abroad Language Programmes - Eurolingua Institute

No Obligation Enquiry / Enrolment Form

Learn... English French German Italian Japanese Portuguese Russian Spanish Swedish

Date: (dd/mm/yy)

Family Name: Male Female

First Name:

Address:

TOWN:

Postcode:

Country:

Telephone:

Fax:

e-mail:

Date of Birth: (dd/mm/yy)

Nationality:

Profession:

I wish to reserve place(s) on the following Eurolingua Study Abroad Programme

starting on the (dd/mm/yy) for weeks

Group programmes are minimum 15 hours/20 lessons per week tuition in small groups, plus cultural visits and excursions. Accommodation is with a selected, local host family (Sunday to Sunday). Studio apartments are available at some locations.
While studying at the Institute, please arrange
accommodation from the (dd/mm/yy) to the (dd/mm/yy)
One-to-One Homestay, I have selected a one-to-one homestay programme and I would like personalised, individual tuition living full-board in my teacher's own home, plus cultural visits and excursions. Programmes are 1 to 4 weeks, Sunday to Sunday.
My current language level is: (approximately)

To validate your enrolment and secure your reservation, please send a £100 (170 $US or €uro) deposit in accordance with the Admission Procedures. This deposit is deducted from your final invoice.
Deposit made by Credit Card (see below)
Depost made by international bank transfer (wire)
Deposit made by cheque in £Sterling
Deposit made by cheque in Euro

Any additional comments or requests:

Please check the above information before you submit.

Based on the information you submit, we will make you an offer of a suitable place by e-mail, fax or regular mail

If you experience any difficulty submitting this form, please print and fax to our Central Office Fax: +33 467 15 04 73 or simply send the information in a regular email to info@eurolingua.com

Credit Card Payments:

Date: (dd/mm/yy)

Family Name: Male Female

First Name:

Address:

Address:

TOWN:

Postcode:

Country:

Telephone:

Fax:

e-mail:

Date of Birth: (dd/mm/yy)

Nationality:

Profession:

I wish to reserve place(s) on the following Eurolingua Study Abroad Programme

starting on the (dd/mm/yy) for weeks

Group programmes are minimum 15 hours/20 lessons per week tuition in small groups, plus cultural visits and excursions. Accommodation is with a selected, local host family (Sunday to Sunday). Studio apartments are available at some locations.

While studying at the Institute, please arrange

accommodation from the (dd/mm/yy) to the (dd/mm/yy)

One-to-One Homestay, I have selected a one-to-one homestay programme and I would like personalised, individual tuition living full-board in my teacher's own home, plus cultural visits and excursions. Programmes are 1 to 4 weeks, Sunday to Sunday.

My current language level is: (approximately)

To validate your enrolment and secure your reservation, please send a £100 (170 $US or €uro) deposit in accordance with the Admission Procedures. This deposit is deducted from your final invoice.

Deposit made by Credit Card (see below)
Depost made by international bank transfer (wire)
Deposit made by cheque in £Sterling
Deposit made by cheque in Euro

Any additional comments or requests:

Please check the above information before you submit.

Based on the information you submit, we will make you an offer of a suitable place by e-mail, fax or regular mail

If you experience any difficulty submitting this form, please print and fax to our Central Office Fax: +33 467 15 04 73 or simply send the information in a regular email to info@eurolingua.com

Payment Type

Comments

Date: (dd/mm/yy)

Family Name: Male Female

First Name:

Address:

Address:

TOWN:

Postcode:

Country:

Telephone:

Fax:

e-mail:

Date of Birth: (dd/mm/yy)

Nationality:

Profession:

I wish to reserve place(s) on the following Eurolingua Study Abroad Programme

starting on the (dd/mm/yy) for weeks

Group programmes are minimum 15 hours/20 lessons per week tuition in small groups, plus cultural visits and excursions. Accommodation is with a selected, local host family (Sunday to Sunday). Studio apartments are available at some locations.

While studying at the Institute, please arrange Host Family (half-board)Host Family (full-board)Studio ApartmentAccommodation Not Required

accommodation from the (dd/mm/yy) to the (dd/mm/yy)

One-to-One Homestay, I have selected a one-to-one homestay programme and I would like 20 hours per week15 hours per week10 hours per weekpersonalised, individual tuition living full-board in my teacher's own home, plus cultural visits and excursions. Programmes are 1 to 4 weeks, Sunday to Sunday.

My current language level is: Total BeginnerBeginnerElementaryIntermediateAdvancedNear Native(approximately)

To validate your enrolment and secure your reservation, please send a £100 (170 $US or €uro) deposit in accordance with the Admission Procedures. This deposit is deducted from your final invoice.

Deposit made by Credit Card (see below)Depost made by international bank transfer (wire) Deposit made by cheque in £SterlingDeposit made by cheque in Euro

Any additional comments or requests:

Please check the above information before you submit.

Based on the information you submit, we will make you an offer of a suitable place by e-mail, fax or regular mail

If you experience any difficulty submitting this form, please print and fax to our Central Office Fax: +33 467 15 04 73 or simply send the information in a regular email to info@eurolingua.com

Payment Type

Comments

While studying at the Institute, please arrange

One-to-One Homestay, I have selected a one-to-one homestay programme and I would like personalised, individual tuition living full-board in my teacher's own home, plus cultural visits and excursions. Programmes are 1 to 4 weeks, Sunday to Sunday.

My current language level is: (approximately)

Deposit made by Credit Card (see below)
Depost made by international bank transfer (wire)
Deposit made by cheque in £Sterling
Deposit made by cheque in Euro