Enrolment form for deposits paid by cheque or bank transfer or international postal order Italian school of Italian language and culture for international students in Italy, the first between Tuscany and the Adriatic coast - Learn Italian language and culture at Centro Studi Italiani, in Urbania, Marches.

ENROLMENT FORM
for deposits paid by cheque or bank transfer
or international postal order

All personal information will to be used exclusively by our secretariat for internal use.
You can add to or withdraw this information at anytime (Italian law 675/96).

Please fill required fields. Thank you!
(*) Fields required

(*) First Name:

(*) Surname:

(*) Street:

(*) City:

(*) Zip Code:

Phone:

Fax:

(*) E-mail:

(*) Date of birth:

(We accept students from 18 upwards.
Students under 18 are accepted only if
accompanied by an adult or with written
permission from their parents).

Sex:

M F

(*) Nationality:

Profession:

Passport N°:

Date & place of issue:

Mother tongue:

Other foreign languages known:

Have you already studied Italian?
If yes, for how long?

(*) How did you hear of our courses?

Course

I WANT TO ENROL FOR:

DATES 2010
Mark the period (or periods)

Housing

HOUSING:
(Please make your choice on the right)

SINGLE ROOM (SUPPLEMENT € 13)

1) BANK TRANSFER:
Banca delle Marche
Agenzia di Urbania
IBAN: IT47 GO60 5568 6900 0000 0004 545; SWIFT: BAMAIT3A

2) CHEQUE made out to:
Centro Studi Italiani
Urbania

3) INTERNATIONAL TELEGRAPHIC POSTAL ORDER

Deposit paid by:

N.B. Please state the exact date of your arrival
in the comments section below
Add any comments, suggestions or questions.

CENTRO STUDI ITALIANI, the Italian language school in Urbania

The first school of Italian language and culture for international students between Tuscany and the Adriatic coast

ENROLMENT FORM
for deposits paid by cheque or bank transfer
or international postal order

CENTRO STUDI ITALIANI, the Italian language school in Urbania

The first school of Italian language and culture for international students between Tuscany and the Adriatic coast

ENROLMENT FORM for deposits paid by cheque or bank transfer or international postal order

ENROLMENT FORM
for deposits paid by cheque or bank transfer
or international postal order