The American College In Spain University Program Registration Form (Page 3 of 3) in pdf

PAYMENT METHODS:

Wire Transfer:

BANK NAME: Cajamar Caja Rural

ACCOUNT HOLDER: ESTUDIOS UNIVERSITARIOS AMERICANOS S.L.

ACCOUNT Nº: 3058 0835 87 2720012075

IBAN: ES793058 0835 87 2720012075

BIC-SWIFT: CCRIES2A

BRANCH: 0835 (Playamar)

BANK ADDRESS: Paseo del Colorado loc. 3-4

ZIP CODE: 29620

CITY: Torremolinos, Malaga

COUNTRY: Spain

Charge my credit card (AMERICAN EXPRESS NOT ACCEPTED):

Card Holder’s Name:

Number:

Validity:

Amount to be charged:

Card Holder’s Passport:

· A 1.295€ deposit is required to secure your place. This is a non-refundable fee that will

be deducted from your semester tuitions. The remaining fees must be paid at least one

month before the course commencement.

A 50% refund is authorized if a student withdraws from ACS during the first two weeks

of classes. No refunds or transfers will be authorized after the beginning of the third

week of classes.

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Signature

Day / Month / Year

In accordance to the established Organic Law 15/1999, 13th December of Data Protection of a Personal Character (LOPD), we inform you that your

data has been incorporated into the files belonging to ESTUDIOS UNIVERSITARIOS AMERICANOS SL with the purpose of the management of the

student body and/or his/her legal representative, administrative management, registration of the two first courses in American University.

I authorize that the included data can be sent to different Universities of the USA with the purpose to fulfill an inscription and/or matriculation in the

university studies requested.

I give consent that my photo appear in the year book and different student medias:

Yes.

No.

I give consent that my photos be used in the publication of different media publications, leaflets, fliers, posters, newspapers etc:

Yes.

No.

I give consent that my photos be used for the web page of studios Universitarios Americanos ( ) and can be included

in social networks in which the centre participates:

Yes.

No.

I also declare to have been informed of the possibility to exercise my rights to access, rectify, cancel and opposition of my data in the fiscal domicile

of ESTUDIOS UNIVERSITARIOS AMERICANOS SL in CENTRO COMERCIAL LE VILLAGE. CTRA DE ISTÁN KM. 1, OFICINAS 12 A 19 – 29602

MARBELLA – MÁLAGA.

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Signature

Day / Month / Year

The American College in Spain

T. +34 952 763 593 F. +34 951 650 114 – e-mail: