ENROLMENT FORM:
Name:..............................................................................................
Address:..........................................................................................
Date of birth: / / Nationality:................................................
Telephone number:................................... /....................................
E-mail:.............................................................................................
Occupation:.....................................................................................
Level of Spanish:.............................................................................
Private course: ( ) Group course: ( )
Starting date: / / Finishing date: / /
To be paid in advance 15 days before the beginning of the course:
BANCO SANTANDER CENTRAL HISPANO (BSCH) C/ LUIS DE VELAZQUEZ, 1 ATT. FUTURAIDIOMAS
0049 0345 34 2411328558
Please note that your booking cannot be confirmed
until we receive your enrolment form. Sign below
to confirm that you have read and understood the
information.
C/ Bolsa Nº 10 - 1ºa
Malaga 29005
Tel/Fax: 952 21 57 52
E-mail: futuraidiomasacademia@hotmail.com
Signed:.............................................................. Date: / /