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:

/ / (mm/dd/yyyy)

E-Mail:
 @
Occupation:
Passport Nº:
Kind of course:
Level:
When do you wish to start?:
 Monday / / (mm/dd/yyyy)
Number of weeks?
   Where and for how long have you been studying Spanish?
Mother tongue:
Others languages spoken:
Kind of Accommodation:
     How did you know about us?
    

Av. Buenos Aires, 54 - 38003 Santa Cruz de Tenerife · Islas Canarias · España
Teléfono: +34-922 21 21 86