PERSONAL DETAILS
Mr
Ms
First
Name:
Family
Name:
Date of
birth:
Nationality:
Address:
Postal
code:
City:
Country:
Phone:
Mobile:
E-mail:
Mother
tongue:
Occupation:
Allergies:
-
STANDARD OF
ITALIAN
Absolute Beginner
No knowledge of the language whatsoever.
Beginner
Some basic words and communication sentences.
Elementary
Can follow a simple everyday conversation.
Intermediate
Knowledge of more important grammatical rules and command of basic Italian vocabulary
Advanced
Fluency of speech, command of grammatical rules, no problem in understanding fast speech of native speakers
Have you already
studied Italian?
Yes
No
If
yes, where?
How
long?
-
COURSE
KIND
Standard
Course
Which?
-----
G/20 - Intensive Group Course (20 lessons per week))
G/20+I/2 - Combination Course (20 + 2 lessons per week)
G/20+I/4 - Combination Course (20 + 4 lessons per week)
G/20+I/8 - Combination Course (20 + 8 lessons per week)
I/10 - Individual Course (10 lessons per week)
I/15 - Individual Course (15 lessons per week)
I/20 - Individual Course (20 lessons per week)
I/25 - Individual Course (25 lessons per week)
I/30 - Individual Course (30 lessons per week)
I/40 - Individual Course (40 lessons per week)
DC/15 - Duo Course (15 lessons per week)
DC/20 - Duo Course (20 lessons per week)
Special
Course
Which?
-----
Art Course - G/20 Course, 2 weeks + 2 Art Lessons + 2 Guided Tours
Business Course - G/20 Course, 2 weeks + 4 Business Lessons
Mosaic Course A (G/20 Course, 2 weeks, + 12 Mosaic lessons)
Mosaic Course B (G/20 Course, 2 weeks, + 24 Mosaic lessons)
Cuisine Course A (G/20 Course, 2 weeks + 2 Cuisine lessons)
Cuisine Course B (G/20 Course, 2 weeks + 4 Cuisine lessons)
Wine Course A (G/20 Course, 2 weeks + 2 Wine Lessons)
Wine Course B (G/20 Course, 2 weeks + 4 Wine Lessons)
-
COURSE
DURATION
From
To
-
ACCOMMODATION
Do you want an
accommodation?
Yes
No
Accommodation
(first choice)
-----
F1 - Family, single room, breakfast
F1-Hb - Family, single room, half board
F2 - Family, double room, breakfast
F2-Hb - Family, double room, half board
E1 - Family, single room, breakfast
E1-Hb - Family, single room, half board
E2 - Family, double room, breakfast
E2-hb - Family, double room, half board
A1 - Apartment, single room
A2 - Apartment, double room
SA1 - Studio/Apartment, single room
SA2 - Studio/Apartment, double room
BB1 - Bed and Breakfast, single room
BB2 - Bed and Breakfast, double room
H1 - Hotel, single room, breakfast
H2 - Hotel, double room, breakfast
Accommodation
(second choice)
-----
F1 - Family, single room, breakfast
F1-Hb - Family, single room, half board
F2 - Family, double room, breakfast
F2-Hb - Family, double room, half board
E1 - Family, single room, breakfast
E1-Hb - Family, single room, half board
E2 - Family, double room, breakfast
E2-hb - Family, double room, half board
A1 - Apartment, single room
A2 - Apartment, double room
SA1 - Studio/Apartment, single room
SA2 - Studio/Apartment, double room
BB1 - Bed and Breakfast, single room
BB2 - Bed and Breakfast, double room
H1 - Hotel, single room, breakfast
H2 - Hotel, double room, breakfast
Transfer
Service:
Smoker:
-
Deposit ( € 150,00 ) paid to:
Pay
Pal
Postal money order
Bank transfer
How
did you hear
about Scuola Palazzo Malvisi?
If by Internet, by which search engine?
Notes: