Enrolment form

Name

Surname

Nazionality

Date of birth

Occupation

Email (required)

Tel

Fax

Mobile

Skype

 Beginner

I would like to attend

From To

Accommodation

Payment
 International Bank Cheque or Euro-Cheque PayPal Bank Transfer UNICREDIT BANCA
Piazza del Comune, 06081 Assisi
IBAN: IT 35 N 02008 38277 000010169238
SWIFT: UNCRIT M1J46
intestato a:
ACCADEMIA LINGUA ITALIANA ASSISI
All bank transfers must be made in students name.

Registration fee: € 68 for course only, or € 136 for course and accommodation.

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