Quotation Form - Saint-Malo Bretagne

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Q U O T A T I O N F O R M
Q U O T A T I O N F O R M
2 0 1 6
2 0 1 6
f
Mr
Mrs
Ms
Last name
First name
þÿ
þÿ
Birth date :
/
/
Job/Occupation :
þÿ
þÿ
þÿ
þÿ
Nationality :
þÿ
Adress :
þÿ
Post code :
City :
Country :
þÿ
þÿ
þÿ
Phone number :
E-mail (compulsory) :
þÿ
þÿ
French level :
A1.1 (complete beginner)
A1.2 (Beginner)
A2 (Elementary)
B1 (Intermediate 1)
B2 (Intermediate 2)
C1 (Advanced 1)
C2 (Advanced 2)
COURSES DATES
I wish to register from
/
/
to
/
/
þÿ
þÿ
þÿ
þÿ
þÿ
þÿ
(dd/mm/yy)
Number of weeks :
þÿ
Registration fees (valid one year): 60 euros per person. These fees are not refundable.
COURSES PROGRAM*
Individual courses/Mini group
Total of hours :
hours
þÿ
Avaibilities :
Monday
Tuesday
Wednesday
Thrusday
Friday
Hours :
8am to 10am
2pm to 4pm
8am to 11am
2pm to 5pm
9am to 11am
3pm to 5pm
9am to 12am
3pm to 6pm
10am to 12am
4pm to 6pm
Formula :
1 person
2 to 3 persons
4 to 5 persons
Number of person :
þÿ
*
The Alliance Française Saint-Malo Bretagne reserves the right to cancel any course or workshop with insufficient or to modify the course schedule if the need arises. Courses are not guaranteed on
public holidays. Read our general terms:
ANG-Form devis -Cours part-V220216

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