ADULT - SPANISH APPLICATION FORM
session: JANUARY 2012 Ref:  
Please fill in and
Please find enclosed a cheque to the value of: £ 
PLEASE MAKE CHEQUE PAYABLE TO:

French & Spanish a la carte
97 Revelstoke Road,
London. SW18 5NL
TEL: (020) 8946 4777
FAX: (020) 8944 8185
e-mail: frenchandspanish.alacarte@talk21.com
website: www.frenchandspanishalacarte.co.uk


Name: 
Address:
Daytime Phone: 
Evening Phone: 
I wish to enrol in the following: ( please tick requirements )
1. STRUCTURED CLASSES
PRICE FOR 12 WEEK COURSE: £ 175
A class : Thursday 7-8.30 pm - starting 12/01

B class : Wednesday 7-8.30 pm - starting 11/01

C class : Tuesday 7-8.30 pm - starting 10/01
D class : Wednesday 6.30-8 pm - starting 11/01


2. CONVERSATION CLASSES
PRICE FOR 12 WEEK COURSE: £ 175
Mid/High level class : Thursday 6-7.30 pm - starting 12/01

4. INTENSIVE WEEK
Abs Beg: (week to be arranged) 9am to 12noon or 1pm to 4pm

(If less than 3 pupils in the class we`ll go ahead with the course but we`ll reduce the hours)

5. VIDEOCLUB
I wish to enrol in the videoclub ( French films ) - £ 50.00 for the year, this includes the subscription and hiring of videos.
A list of titles is available on request.
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Please note that fees are not refundable under any circumstances.

Signature: