Enrolment for a Spanish Course at Estudio Sampere
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Enrolment for a Spanish Course at Estudio Sampere 2009 /2010

Please return completed registration form online.
You will receive details of your accommodation well in advance of your departure. If you enrol less than four weeks before your course starts, you will also receive all the relevant details before your departure. Please read carefully the accompanying enrolment form and price list. All direct enrolments are subject to our terms and conditions as specified in our price list.

  • Enrolment fee 35 € (for all courses in Spain under 5 weeks)
  • Enrolment fee 35 USD ( for all courses in Ecuador under 5 weeks)
  • Placement fee 25 € for student room/shared flat and homestay accommodation in Spain (no placement fee for apartments and hotels, no placement fee for homestay accommodation in Ecuador.)

Family name*
First name*
Gender* Mr Mrs
Address*
City*
Post Code, State*
Country*  
Profession
Phone*
Mobile
Email (please verify!)*
Date of birth*
I want to enrol to the following Spanish course:*
Course start* [Open dates in new window]
School city* Madrid Alicante Salamanca Cuenca
Course duration (weeks)*
Spanish knowledge* none little average well very well
Accommodation*
Arrival date*
Departure date*
I travel by plane train car or bus
Flight number
Airport transfer wanted?
Yes No
Do you smoke? Yes No
Calculated course fees
 [Open fees in new window]
Accommodation fees [Open fees in new window]
Extra fees [Open fees in new window]

Payment by* banktransfer
BANCO POPULAR
ESTUDIO SAMPERE
Account No: IBAN-ES-84/0075/0080/1306/0119/7550
BIC-SWIFT CODE: POPUESMM
Branch No 8 - Velázquez, 34 - E-28001 MADRID (SPAIN)

  credit card through online form
(Please send this form and
follow the link on the answer form)
  credit card (Please fax us your creditcard information)
Fax: + (34) 915 759 509

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Estudio Sampere through:*

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University, school or teacher
former Sampere student
friends or relatives
Instituto Cervantes
Spanish embassy
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Enrolment for a Spanish Course