Registration Form

Name

Surname

Sex

Maschio

Femmina

Address

Country

Phone Number

Number of cell

Fax

Date of birth

Native language

Other languages

How did you hear about our school?

My current level of Italian is:

I wish to enroll in the course

Course start dates:

Number of weeks

Please reserve the following accommodation:

I paid the registration fee / tuition equal to the entire Euro:

Method of payment

Notes

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