Booking Form for Language Courses in Brighton
Autumn Term Sep - Dec 2007
Your Details:
Your Name:
Your Surname: Your Email Address:
Daytime Tel No: Evening Tel No:
Your Course:
Choose type of course Evening Classes Day Classes Weekend Classes Choose Language French Italian Spanish Portuguese Choose Level Beginners 1 Beginners Intensive Elementary Elementary Intensive Beginners 2 Intermediate Upper Intermediate Advanced
Choose starting date (only for weekend and day courses) 22/23 Sep 2007 (1 weekend) 20/21 Oct 2007 (1 weekend) Sat 29 Sep 2007 (5 weeks on Sat) Sat 10 Nov (5 weeks on Sat) 17 Sep 2007 (1 week daytime) 8 Oct 2007 (1 week daytime) 29 Oct 2007 (1 week daytime) ignore this box if you are booking for an evening course
Course Code Code IN Code IN2 Code A Code A1 Code B Code C Code D Code D1 Code E Code W/1 Code W/5 click on the Back button if you need to check the code
If you require a test to confirm your level, please tick this box and we will contact you to arrange it at your convenience (if you are booking for the Beginners 1 you don't need the test)
Payment:
I will pay by cheque no additional charge
I will pay by bank trasfer no additional charge
I will pay by debit/credit card additional charge applies, see below
Please send a cheque made payable to Affinitalia to our Administration Office: Affinitalia 20 Price's Court Cotton Row London SW11 3YR
Bank details: Bank: Barclays Branch: Holborn Sort Code: 20 41 41 Account Number: 201 59 107 Account Name: Affinitalia Reference: your surname
If you choose this option you can complete payment once you have submitted the form Please note: for payment by debit or credit card, or via paypal an additional charge (between £ 3 and £ 4) will be added to the course fee
Brighton (Hove)
To pay for a course you have already booked please click here
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