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Personal datas:
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Name
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Street address
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City & postal
code
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Country
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Phone nr.
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Fax. nr
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Cellphone
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*E-mail
*It
is important to contact you, don't forget to send it |
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Nationality
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Date of birth
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Sex
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Job
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Best way to
contact you
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Current knowledge
of spoken Italian
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Current knowledge
of written Italian
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Additional
language studied or spoken (level included )
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COURSE
INFORMATION, please enroll
me in your Italian language course: |
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From
to
number of weeks
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from
to
number of weeks
If needed, please
provide any further details of your requested coursework;
plan with us
your Italian language course (specify topics) |
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HOUSING REQUEST
, (on request) we can help you to find the more suitable accomodation in Palermo and Agrigento.
Our partners , local and professional tour operators and travel agencies
, work with us in order to satisfy our clients' requests.
This
service is free and valid only for who wants to book our Italian
language course. |
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from
to
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Please advise
any additional housing details needed : |
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Alternative choice
From
to
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TRAVEL
INFORMATION |
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Will you require
an airport pick-up
If yes
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Arrival from
(city)
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Scheduled time of
arrival at Palermo or Catania airport
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Flight number
For our records,
if not by air, how will you be travelling ?
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Other
I would like to have much more infos about how to book
(more than the link
http://www.fioribludisicilia.com/fioriblugenerale/sito%20inglese/application%20form%20on%20line/registration%20ENGLISH.htm)
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By clicking on "Send",
I declare
-- I read and accepted all the terms
-- According to art. 10 of Italian Law 675/96, I FIORI BLU DI SICILIA, I authorize to utilise my personal data in order to promote its
programs
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