First name
Family name
Date of birth
Sex
male /
female
Nationality
Profession
Address
Phone
Fax
Email
Known languages
Knowledge of Italian
none ::
elementary ::
moderate ::
good
I would like to enrol in the following language course:
Part-time
/ Standard
/ Intensive course
From:
to:
Combined-course
A ::
B ::
C
From:
to:
One-to-one lesson
/ Partner-course
From:
to:
Workshop course
Course of special topic
I would like to reserve the following accommodation:
Family home
:: Shared apartment
>>
Single room
:: Double room
>>
Use of kitchen
:: Breakfast
:: Half board
Hotel (*)
:: Hotel (**)
:: Hotel (***)
>>
Single room
:: Double room
Private apartment
No reservation
Reservation
From:
to:
Allergies
Smoker
:: Non-smoker
Vegetarian
Request for a transfer
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