REGISTRATION FORM


Fill the following form and return it to us by pressing the
"Send to CANARIAS-CULTURAL"
button at the botton of the page.
First Name (Mr/Ms):
Surname:
Address:
Post Code and City:
Country:
Telephone:
Fax:
Date of birth:

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E-Mail:
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Passport Nº:
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Level:
When do you wish to start?:
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   Where and for how long have you been studying Spanish?
Mother tongue:
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Av. Buenos Aires, 54 - 38003 Santa Cruz de Tenerife · Islas Canarias · España
Tel: (+34) 911 017 417