PERSONAL DATAName * Name Surname * Surname E-mail * Email IMPORTANT: If your e-mail address is "webmail" type, as for example "Hotmail" or "Gmail", it is possible that our e-mails will not appear in your inbox. Please, add our e-mail address to your contact list in order to have a proper communication with us: firstname.lastname@example.orgDate of Birth * Date of birth Occupation Your estimated level of Spanish * Level of Spanish Level of Spanish Complete beginner A1 (low level) A1 (intermediate) A2 (low level) A2 (intermediate) B1 (low level) B1 (intermediate) B2 (low level) B2 (intermediate) C1 (low level) C1 (intermediate) C2 (low level) C2 (intermediate) Telephone number Telephone number E.g.: +99 999 999-9999 Address* Street Postcode Postcode City * City Country * Country Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic of The Cook Islands Costa Rica Cote D'ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-bissau Guyana Haiti Heard Island and Mcdonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia, The Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and The South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe COURSEStarting date * Starting date End date * Course ends at Select course * Select Standard course (20 lessons/week) Intensive course (30 lessons/week) Super intensive course I (20 + 5) Super intensive course II (20 + 10) DELE exam preparation course Special course Home stay program Combined course Spanish-sport Part-time course Private lessons ACCOMMODATIONFrom Accommodation start date To Accommodation finish date Select accommodation type None Shared apartment Own apartment Family accommodation half board Family accommodation full board METHOD OF PAYMENT After receiving your enrolment CILE will confirm the booking by email. Reservations are booked in firm only on payment of a deposit of 150€ to our bank account within 10 days after having received our confirmation. The rest of the amount due may be paid either also to our bank account not later than two weeks before course commencement or paid in cash the first day of your course in our school office. All bank charges should be covered by the student. Please, select the method of payment: Reserva Reservation fee: 150 € formbank The rest in cash The rest via bank transfer IMPORTANT: If the "SEND" button does not work or if you do not receive the confirmation e-mail, it might be that the script has not loaded up correctly on your computer. In that case, please send us an e-mail with your details, type of the course you have chosen and the exact dates to email@example.com.