Enrollment Form

sex

first name

family name

e-mail

full address

country

phone number

fax

cellphone number

date of birth (day, month, year)

mother tongue

other known languages

How did you hear about CLIC?

What is your present level of Italian?

I wish to enroll at the school in

I wish to enroll at the following course:

starting date:

number of weeks

Please book the following accommodation:

I have paid the enrollment fee/whole sum of Euro:

notes:

Students' Comment

request brochure & special offers

links

enrollment form

download printable course & pricelist

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Italian Language School