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Personal Information :

If you wish to have more information, please fill in the following form and send it to us. This information is confidential and will not be used for any other purpose than the contact you have established with us. Thank you for your trust.


Who you are:  

The information marked with an asterisk( * ) must be filled in for the form to be sent.

*Last name:

*First name:

Address:

City:

*Telephone:

Province/State:

Postal or Zip code :

*Email:

 




The kind of course I want


I would like to take a course in:

I would prefer to take: Private course Group course

Have you taken a course in this language before: Yes No

If you answered "Yes". How many hours?

What level are you:

How long ago did you take this course?

When do you wish to start your course?:

What is your preferred date?

What is your motive for taking this course?

Comments  

If you have any comments, please contact us:


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