57 ŔőœłńʼnńłŇŇņ㨬㳍ħ嬞⏖ ljį ⧀▜處⧺⧀▜姷虇憲▛崆䋶ġĩ䋶䏖İ⭢▜榐Īġ㔒㕞ⵓ憐ġŦŮŢŪŭġ厂ġŪůŧŰįŵŢŪŸŢůŁŴűųŢŤũŤŢŧŧŦįŤŰŮҸ⧀▜㟑梏倂″宑捠ġĩ俌ⴇ幊ijıĦĪġ虇ㄔ⧀▜㜖₅厖宑捠䩉尜ĭġ㎠↠ⶖġŦŮŢŪŭġⵓ⎉䩉尜⎌ ╙ⴇ幊⿂✽Ҹ㏏㢘幊䚷ㅔ榗㢏戁⢷㑄懣ŔőœłńʼnńłŇŇņ䠓⡪懀⏜ⴛ㎟㳍ĭġ憩䥴㎠↠䉉㈷䩉尜Ҹㄔ䩉尜ⴛ㎟虇㎠↠ⶖ㕟K懁ᾏ㳴䠓幖宙虇⬑Ļġ姛⏜䀥∨ҷ⃞ⵎ⢿⣏ҷ㔴㯮幖宙䳘Ҹ ijį 㢃㛈榟宑處⧀▜ㄛ虉㝋懙ⴇ朚⭚㝴⏜ijĹ⪸⁴ᾙ㏏㕟⎉䠓₊⃤㢃㛈ġĩ⬑Ļġ⎿懣㝴㢮ҷ⃞ⵎ䳘Īġ虇ⶖ㛅╥㵞㲰ĵĶ咀攙İĶĶ㳟⋒İĸı⿲㎥䳘⇋幊䚷Ҹ懙ⴇ朚⭚㝴⏜ijĹ⪸⋶㕟⎉䠓㢃㛈榔 䡽ⶖ╾劌䚱䚮槜⪥幊䚷虇㛔㢃㛈幊ⶖ╾劌⪩㝋ĵĶ咀攙İĶĶ㳟⋒İĸı⿲Ҹ㎠↠㢒䡰ⓣ㈷㕟⎉䠓㢃㛈梏㷑虇⃕ 屚䊰㹤Ⅼ峘劌䂎彂㏏㢘㕟⎉䠓㢃㛈‚榔Ҹ Ĵį ╥㼗榟宑處 ʬ懙ⴇ朚⭚㝴⏜ljķ⪸⁴ᾙ㕟⎉╥㼗處㛅╥俌ⴇ幊ljıĦ虇㢏⪩厂ijıı咀攙İijĶı㳟⋒İĴĶı⿲Ҹ⬑榟宑䠓懙ⴇ姛䮚梏愵䖕䷌峘虇䷌峘䚷⋴ⴇ㜖₅㧇䠋幊╙ㅺ懭幊ⶖ╵姛㛅╥Ҹ ʬ懙ⴇ朚⭚㝴⏜ĴĮljĶ⪸㕟⎉╥㼗Ļġ㛅╥俌ⴇ幊ĶıĦ虇㢏⪩厂ĵıı咀攙İĶıı㳟⋒虇㒎⪶懙ⴇ㢏⪩厂ĸıı⿲ġĬġlj懀⃞ⵎ幊䚷Ҹ⬑榟宑䠓懙ⴇ姛䮚梏愵䖕䷌峘虇䷌峘䚷⋴ⴇ㜖₅㧇 ҶҶ䠋幊╙ㅺ懭幊ⶖ╵姛㛅╥Ҹ ʬ懙ⴇ朚⭚㝴⏜ljĮij⪸㕟⎉╥㼗處㛅╥俌ⴇ幊ĺıĦ虇㢏⪩厂Ĺıı咀攙İljııı㳟⋒虇㒎⪶懙ⴇ㢏⪩厂ljııı⿲ġĬġij懀⃞ⵎ幊䚷Ҹ⬑榟宑䠓懙ⴇ姛䮚梏愵䖕䷌峘虇䷌峘䚷⋴ⴇ㜖₅ ҶҶ㧇䠋幊╙ㅺ懭幊ⶖ╵姛㛅╥Ҹ ʬ懙ⴇ朚⭚ㄛ㕟⎉╥㼗處㛅╥俌ⴇ幊ljııĦ虇㢏⪩厂ljııı咀攙İljijıı㳟⋒Ҹ㒎⪶懙ⴇℬ䋶㒎⪶▓⽭Ὶ嬞㛅╥幊䚷虇⪥ij懀⃞ⵎ幊䚷Ҹ ʬⅬ根╥㼗幊䚷䉉Ⅼ根幊俌槜ijĦġĩ㢏⃝㛅╥ĵĶ咀攙İĶĶ㳟⋒İĸı⿲ĪҸⅬ根幊ㅔ榗⢷⧀▜㟑㚾㳍榔虇ᾣ⢷⎉䠋⏜⡯⇴う⡯亯㏜劌⪯╥㼗☛愵䖕憏㳍ġĩ梏㕟K挺⾺朚䱚Ὶ峘㞝ĪġҸ ʬ⢷㥟䐈㴙㉔㹐ᾚĭġ⬑▛䮚〵䕼亩ⴇ䚮⁉㜇ᾜ彂军䊰㹤朚䕼ĭġ㎠↠ⶖ㕟K汣㎥佩ᾙ䠓⤚䕼亩☛㾪ⶠ屁⦑㝈㧗╥ġĩ㮨䀥屁䮚ljij⦑屁ġİġⵕ桕屁䮚ljĹ⦑屁ĭġ│㮨䀥屁䮚ġĬġķ⦑ᾏ ġġġġġġᾏ屁䮚ĪҸ䕼亩梏懣ĵ⃜ ⁴ᾙ䠓ⴇ䚮╒Ҹ⢷棭⿇僤嬚䠓㉔㹐ᾚ虇呴ⴇ㦰⡯䐈㴙㉔㹐军梏╥㼗䕼亩厖㔗屁虇㎠↠ⶖ憏戓㈷⾁㚾仵ġŔőœłńʼnńłŇŇņġ䠓幊䚷Ҹ ʬ懙ⴇ㏢⽴宗䛺梏戄ㄹⷻ 䠓㨬㳍ħ嬞⏖虇専㢻㏚⌙䲻ljĺ榐Ҹ ĵį ䷌峘處䉉㕟K▓⢚愵䖕䷌峘㏏梏Ὶ⋴ⴇ寀╾㜖₅虇㈷梏㚾俌ⴇ幊ĵıĦ╙㏚倛幊ġĩᾜ╾憏戓Īġĵı咀攙İĶı㳟⋒İķĶ⿲㎥䳘⇋幊䚷虖䛂屚㒎⪶懙ⴇ虇憨䳕㏚倛幊⾁⒔►⢷寊⌙幊ᾼġ ĩᾜ╾憏戓ĪġҸ㳳⪥虇㈷΅梏嬐㚾抄ⵓ㜖₅ㅺ懭幊ġĩᾜ╾憏戓ĪġҸ⬑䷌峘䛂屚懼⎿㑡令虇㈷ㅔ榗⢷懙ⴇ朚⭚㝴䠓厂ⶠljĶ⪸⁴⏜憩䥴㎠↠虇染ᾙ䷌峘㑡令峘㞝虇⁴ⅎ㎠↠䉉㈷愵䖕䢇 杫㏚倛╙憏幊埤䖕ġĩ憏幊ᾜ⒔►⏜慿ᾜ╾憏戓Ὶ榔䡽ĪġҸ⬑㢹⢷懙ⴇ朚⭚㝴ljĶ⪸⁴⏜㛅⎿㈷䠓憩䥴虇ġⶖ嬥䉉⬑㢮⏜ㄏ懙ⴇ姛䮚虖㛔⢷ⶠ㝋ljĶ⪸⋶㏜㔴䔁䠓憩䥴虇ⶖ㒘䋶ⴇ㦰ᾏ去䠓 ╥㼗╙㢃㛈㛅幊嬞愵䖕Ҹ↧呴㈷⢷懙ⴇ朚⭚㝴⏜ljķ⪸⁜㢹㛅⎿㧇䠋Ὶ䷌峘虇㎠↠テ䉗ら峿㈷䱚│■㎠↠㕟⎉ゅㄛ屁䮚䠓梏㷑染ᾙ䢇杫峘㞝㜖₅虇⢷㳳㉔㹐ᾚ╾䉉㈷⋜幊㢃㛈ᾏ 㲰朚屁㝴Ҹ Ķį 倂幊㝈ゞ處屚ℬⴇ㦰ġŊůŷŰŪŤŦġ㏏⎦捠槜虇戇㙖懸▗㈷䠓㝈ゞ倂幊Ҹ倂幊㟑屚染寊ⴇ䚮咀㜖⭢▜虇╙ġŊůŷŰŪŤŦġᾙ䠓ġŃŰŰŬŪůŨġŏŶŮţŦųҸ ʬ搏姛Ⓘ㳍ġ-ġ屚ℬⴇ㦰ġŊůŷŰŪŤŦġ㏏⎦ġŔőœłńʼnńłŇŇņġ搏姛⿂㏅幖宙⇩⢚株Ⓘ㳍ҸⒾ㳍㝈梏ģ⋷槜⎿㳍ģ帯㙣㏏㢘䠓㏚倛幊虇Ⓘ㳍ⴛ㎟屚㕟K䢇杫峘㞝Ҹ ʬŇŭźŸŪųŦġ-ġℬⴇ㦰ġŊůŷŰŪŤŦġ㏏⎦⿲⎴ĭġ屚厖㎠↠亱╥䢇㍘Ὶ佩ᾙ㳍憲仟Ҹ㳍㝈梏帯㙣ġŇŭźŸŪųŦġ㏚倛幊虇㳍ⴛ㎟屚㕟K䢇杫峘㞝Ҹ ķį Ⅼ根處 䉉榟柁懙ⴇ㢮朢╾劌䠋䚮䠓₊⃤‚㛔ҷ䝍䝔ҷ↚⁉帰䏸戉⫀㎥↚⁉㉔㹐䠓崙⒥虇ら峿㈷庋幆↚⁉㝔姛。ⴘⅬ根虇䉉懙ⴇ姛䮚厖㝔姛㢮朢⨭㾊⪩ᾏⷳ Ⅼ栫Ҹ㎠↠⾁䉉㈷㋝ 戇⊹幹䠓Ⅼ根⋻▇虇㕟K⒔►挺䟑ҷ㊞⪥ҷ帻₊☛比憟⎉⨒䠓⦉㢻Ⅼ根榔䡽虇幊䚷亓䉉㵞⁉㵞⪸ljįĴ咀攙İljįĶ㳟⋒İij⿲虇╙㏚倛幊ljĴ咀攙İljĶ㳟⋒İijı⿲ҸⅬ根幊ᾜ㢮㢃㜿虇屚 ⢷⧀▜⏜厖㎠↠屽寱虇䩉尜㞾▵梏嬐☛㎠↠庋Ⅼ根虇㎥㞾卹姛䀥∨Ҹ ĸį 帻₊處㢹㎟〃ⴇ䚮䠓䏅㵜ㅔ榗▛㊞虇ŔőœłńʼnńłŇŇņҷ⃞ⵎ㕟K冔☛㕟K✽⃜ 䠕ᾜ䉉ⴇ䚮⢷懙ⴇ㢮朢⡯䜞ㆌ㎥㛔㊞军憯㎟䠓㖜⩭㎥⛞槛㐎㙣帻₊Ҹ㢹㎟〃ⴇ䚮䏅㵜ㅔ榗―孲╙ 㔴╦ⴇ䚮㏏⎿容懙ⴇ⢚ⵅ䠓㹤ㄚ⁴☛嬞䵓Ҹ Ĺį 概╙別≞㲙處㈷㔴╦▛㊞ŔőœłńʼnńłŇŇņ㢘㲙⢷屁⦑ҷ屁ㄛ㻊⑤☛㝔懙ᾼ懁姛概㚬╙撓媌虇ℎ䚷憨䋶䏖ҷ䏖☛撓概㰣䉉㎠↠䠓ⴇ㦰ⴲ≂虇䊰梏⌜╵ㅄ㷑╒厖冔 ▛㊞㎥↚⎴㔗㲙Ҹ⬑㈷⾛㢪㛅⡭㈷▛㊞崢㎠↠ℎ䚷㈷䠓概ҷ≞㰣㧗╙↚⁉峧⎴虇屚䠋憐梊ⳟ抄₅厂ġŪůŧŰŁŴűųŢŤũŤŢŧŧŦįŤŰŮġ厖㎠↠凾俺Ҹ ĺį ⋜帻刁㞝處㢻㏚⌙⢷⋻⃗ 㟑ℎ䚷㢏㜿幖宙虇ㄛ倛╾劌ᾜ㢮㢃㜿ĭġŔőœłńʼnńłŇŇņⅬ䛨撾尳㢃㳲☛幖宙㢃㜿䠓㲙⎸Ҹⴇ䚮㍘䜅戄ⴗ懙ⴇ⢚ⵅ䠓㹤ㄚ╙ⴇ㦰嬞䵓虇呴ⴇ䚮⎉䖍ᾜ䜅姛䉉㎥ᾜ▗䖕 䠓⎉⑳䑏㹐虇╗㎥姛䉉榎ⴇ㦰☛⃞ⵎ✽⃜ 䠓㳲⿇懚⃫ 虇㎠↠㢘㲙㑡令ⴇ䚮個倛⋴ⴇ☛⃞ⵎ虇ᾣᾜ㢒憏戓㳍榔Ҹ呴ⴇ䚮䊰㛔ᾜ╒⾁⧀▜䠓屁䮚㎥⾁ⴘ㔡䠓㻊⑤虇ⷻ 卹姛㛍㩓㲙䡙虇ᾜㄦ嬐 㷑䢇杫憏幊Ҹ EMERGENCY CONTACT Name: Relationship: Tel.: I heard about Sprachcaffe Languages Plus from: PERSONAL DETAILS Surname: Forename: Gender: F M Date of birth: . . Country of birth: Nationality: Home Country Address: City: Post Code: Country: Tel. : E-Mail: Company: I WOULD LIKE TO ENROL FOR Location: Travel date: from: . . to: . . Alternative date from: . . to: . . Accommodation: No accommodation Alternatively: Smoker? from: . . to: . . Board: Double room: Single room: Special requests Remarks/food/ Allergies/diets Course: weeks lessons/week Pathways Programme Working holiday: Approximate level Beginner/A0 Elementary/A1 Pre-Intermediate/A2 Intermediate /B1 Upper Intermediate/B2 Advanced/C1 Proficiency/C2 Exam preparation: CALCULATION Basic Price ,- + Course enrollment fee ,- + Accommodation placement fee ,- + Letter of acceptance for visa purposes ,- + Non refundable shipping fee ,- + Season surcharge ,- + Additional fees ,- + Transfer ,- + Cancellation insurance (2%, minimum 45GBP/55EUR/55USD/70CAD) ,- + Travel insurance package ,- = Total ,- I have read and accept the SPRACHCAFFE Terms & Conditions. Student Signature: Date: . . Agency Name (if applicable): TRIP DETAILS Visa: I need a letter of acceptance and/or documents for visa application Passport No.: Arrival: Transfer: Yes No Flight No.: Departure: Transfer: Yes No Flight No.: Arrival date: . . Arrival time: Departure date: . . Departure time: Airport of departure: Airport of arrival: ㎟⁉懙ⴇ⧀▜姷 REGISTRATION FORM REGISTRATION/TERMS & CONDITIONS
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