Email:
info@studyspanishinoaxaca.com



     U.S. Tel.: (213) 634-1444

     Mexico Tel./Fax:
     +52 (951) 514-6062

     Armenta y Lopez #311-B
     Centro Historico C.P. 68000
     Oaxaca, Oaxaca, Mexico

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REGISTRATION FORM

PLEASE ENTER THE FOLLOWING INFORMATION:

Name:
Birthdate:
Sex: Male  Female
Profession:
Street Address:
City, State, ZIP:
Country:
E-mail Address:
Telephone Number:

COURSE DETAILS:

 

Group Lessons     Private Lessons

Regular 15 hrs/week
Standard 20 hrs/week
Intensive 25 hrs/week
Extra-Intensive 30 hrs/week
Super-Intensive 40 hrs/week

Attendance (# of weeks):

Start Date :
Previous Spanish :
Particular Needs :

ACCOMMODATIONS:

Homestay Options

Private room with breakfast
Private room with two meals
Private room with three meals

Your host family will welcome and pick you up, so please enter the following information:

Arrival Date :
Arrival Time :
Arrival Place:
Departure Date :
Hotel/Apartment Needs :
Special requirements: