school@bertrand-russell.it

ITALIAN LANGUAGE COURSES ENROLMENT FORM 

Please fill in the form below to enrol in our Italian language courses. It is important to fill in as many fields as possible.
NB – Enrolment shall become effective as soon as payment for at least one month of course has been made. Advance payments can be made online, through PayPal, by bank transfer or by international money order.
Should you wish to attend lessons for less than one month, please pay at least one week’s fee in advance.

    ☆ Personal Details

    First name*

    Surname*

    Gender*

    Place of birth*

    Date of birth* (dd/mm/yyyy)*

    Nationality*

    Passport Number

    Full address*

    e-mail*

    Telephone*

    Fax

    ☆ I wish to attend an Italian language course…

    I wish to attend the course commencing on*:

    2021

    2022

    2023

    I wish to enrol for:*

    (seleziona la tua scelta ☑︎ )
    1 MONTH (€ 600,00/month)
    1 WEEK (€ 150,00/week)
    SPECIAL OFFER - 4 months (€ 2.200,00)
    SPECIAL OFFER - 6 months (€ 2.500,00)
    SPECIAL OFFER 1 year - 12 months (€ 4.000,00)

    Please state the number of consecutive months or weeks in which you wish to attend: (e.g. 2 months, 3 weeks, ...)

    ☆I require accomodation*:

    (select ☑︎ )

    YES
    NO

    If yes, please choose the type of accommodation:

    ☆ I would like to pay…*

    (seleziona la tua scelta ☑︎ )
    … with Credit Card
    … by bank transfer
    … by international money/postal

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    Notice on consent: In compliance with the provisions of Legislative Decree 196/2003, we would like to inform You that the provided data shall be processed, exclusively for the purposes for which they have been collected, and to keep you informed on our new or other services. Data shall be stored confidentially and shall not be transferred to third parties.
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    PAY NOW

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    Dati bancari:

    INTESTATARIO: Istituto Linguistico Bertrand Russell

    BANCA: Deutsche Bank; Corso Matteotti 21, 35122 Padova

    IBAN: IT 20 F0 31 04 12 10 00 00 00 08 22 00 6

    BIC o SWIFT: DEUTITMMPAD

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