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If you wish to
enroll, please fill in the following on-line Enrollment Form. An advance deposit payment of 110 Euro is also required to perfect your enrollment. Payment can be effected by:
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For any information, feel free to contact us at: info@linguaitaliana.com
E-mail field should be filled in, in order to send the form correctly
I would like to enroll for the following
course:
| Intensive group courses | |
| Combined courses (group course individual tuition) | |
| Minigroup (2 students 1 teacher) | |
| Individual tuition |
| FROM: |
I would also like to enroll for the following extracurricular activity:
| Spoken | Understood | Written | Read | |
| None | ||||
| Poor | ||||
| Intermediate | ||||
| Good | ||||
| Fluent |
| Hotel | ||
| Apartment | ||
| Camping | ||
| Agriturist | ||
| Family |
| Single room | Double room |
| I do not need accommodation |
I would like to pay the advance deposit of Euro 110 by
:| Postal order | Credit card on-line | Credit card via fax | Bank transfer | Other |
Pick-up Service
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A member of the CCC’s staff will welcome the students on arrival at the station or at the airport and will take them to their accommodation showing them where the school is and how to get there. This service should be requested when the application form is first submitted and is available from 7:00 to 24:00, everyday. |
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No Pick- up |
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From Ancona Airport to Camerano |
Euro 35 |
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From Ancona Airport to the sea (Numana, Sirolo) |
Euro 40 |
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From ancona railway station to Camerano |
Euro 25 |
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From ancona railway station to the sea (Numana, Sirolo) |
Euro 35 |
| Newspaper/Magazine | School/University | Italian Cultural Institute | Friends |
| Internet(where) | |
| Other |
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ABOUT THE PRIVACY Privacy Consent for processing personal data in accordance with Art. 23 of D. Lgs. 196/2003. Internet users are informed that personal data supplied by them, necessary for the fulfilment of this agreement will be used exclusively for this purpose and in accordance with the above mentioned regulation. To this purpose the internet user declares herewith his or her consent to the electronic and manual processing of the following data: Data supplied by the user in the form. In this respect the internet user can at any time avail him/herself of the rights as provided for in Article 13 of Regulation 675/96.The owner of processing data is Centro Culturale Conero, Via Fontanelle 2 - 60021 Camerano (An)
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