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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