Enrolment form

Name

Surname

Nationality

Date of birth

Place of birth

Occupation

Email (required)

Address

Tel

Fax

Mobile

Skype

Beginner

I would like to attend

From To

Accommodation

Payment
International Bank Cheque or Euro-ChequePayPalBank Transfer
UNICREDIT
Via della Madonna dell’Olivo, 7 – 06081 Assisi
iban: IT 47 O 02008 38278 000010169238
SWIFT: UNCRITM1J12
intestato a:
ACCADEMIA LINGUA ITALIANA ASSISI
All bank transfers must be made in students name.

Registration fee: € 68 for course only, or € 136 for course and accommodation.

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