school@bertrand-russell.it

FICHE D’INSCRIPTION AUX COURS D’ITALIEN

Pour vous inscrire à nos cours d’Italien, remplissez la fiche d’inscription suivante de la façon la plus complète possible.
NOTA BENE – L’inscription aux cours devient effective seulement à partir du versement du cout relatif à un mois de cours minimum. L’acompte peut être versé on line par virement bancaire ou par virement postal international.
Si le cours choisi dure moins d’un mois, l’acompte sera alors équivalent au cout d’une semaine de cours.

    ☆ 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*:

    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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    PAYER MAINTENANT

    Carte de Crédit

    Coordonnées bancaire:

    Titulaire du compte: Istituto Linguistico Bertrand Russell

    Banque: Intesa San Paolo; Corso Matteotti 21, 35122 Padova

    IBAN: IT04N0306912117100000012231

    BIC ou SWIFT: BCITITMM

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