Enrolment form

Name

Surname

Nationality

Date of birth

Place of birth

Occupation

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Address

Tel

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Beginner

I would like to attend Standard- 20 hours per weekIntensive- 30 hours per weekThematic (literature/cinema/history of art/archaeology)- 30 hours per weekCombined- 100 hours/4 weeksOne to One Intensive courses- 60 hours/2 weeksPrivate tuitionDuo private tuitionThree to one private tuition

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Accommodation
I don't need itSingle room in shared flat (430,00 Euro a month or 280 Euro for 2 weeks)Double room in shared flat (320,00 Euro a month per person, or 230 for 2 weeks per person; it is necessary to write in the message the name of the roomate. Thank you)One bedroom flat (620,00 Euro a month, 420 Euro for 2 weeks)

Payment
International Bank Cheque or Euro-ChequePayPalBank Transfer

Bank account Trasferwise

Accademia Lingua Italiana Assisi S.A.S.

IBAN BE28 9670 2341 1520
(SWIFT/BIC) TRWIBEB1XXX

TransferWise Europe SA
Avenue Marnix 13-17
Brussels 1000
Belgium

For payments in other currencies please email [email protected]

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