Spanish courses in Spain

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Online booking form

Important: If this form does not fit your needs, do not hesitate to contact us. we are 100% flexible


Choose a Course:

Nº of weeks:

Start Date (Mondays only):

What is your Spanish level?:



Medical Insurance: +info...(in Spanish) Yes - No

Cancellation insurance: +info... Yes - No



Arrival date:

Departure date:

Please check the box of the accommodation you would like:

Accommodation
Shared flats with other students (double room)
Shared flats with other students (single room)
Individual flats
Accommodation with families
No Accommodation

Meals*
Continental breakfast
Half board
Full board


Comments:

How did you find out about Spanish Heaven?



Last Name:

First Name:

Nationality:

Native language:

Birth date:

Age:

Gender:

Passport nº:

Parent´s name or spouse:

Parent´s phone number or spouse:

Emergency phone number:

Address:

City:

Zip Code:

State:

Country:

Phone number (country/city dial number):

Fax:

E-mail:

Occupation:

Address in Spain during the course:



Please indicate your payment method
Visa, American express or Master card
Bank Transfer
Paypal

Transfer bank details (all bank charges are paid by the sender)

Amount: 125 €
Account number (IBAN) CAJA RURAL DEL SUR: ES10 3187 0007 4125 2975 9223
Swift bic code: BCOEESMM187
Payable to: Montagut IyF Slu
In payment of: Order number (supplied after booking)

Please send us a copy of bank proof by fax (+ 34 902602782).


Card details (Fill this out only if you are paying by this method)

Name of Holder:

Credit Card Number:

Expiration Date (MMYY):

CVC2 (Three-digit (Visa-Mastercard) on back or four-digit (American express) on the front:

I agree with all the Spanish heaven conditions.

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Montagut ingeniería y formación Slu, CIF: B21433388, C/ Elena Montagut, nº 7, 21005 Huelva - Spain

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