First Name*
   
Surname*
   
Day of birth*
   
Gender*
   
Nationality*
   
   
Address*
   
Post Code*  Town* 
   
Nation*
   
Phone Private*
   
Phone Work
   
Phone Mobile
   
Fax
   
E-mail*
   
   
Company
   
Address
   
Post Code  Town  
   
Nation
   
 
   
My Spanish knowledge* 
 
Course from * 
 
until*  
 
Choose max. 5 subjects from your own interest*:
3 Most successful people of the world and their stories (Aldi, Ikea..)
4 Multi-cultural marriages (mixing two cultures. Does it work?)
5 Family values (bridge between parents and children)
6 Incredible hobbies and sport types and how they can influence a better life
7 Dream roads of the world - travelling to unreal places
8 Religions: Is it possible for the different religions of the world to live in          peace with each other?  For example, like once Christians, Muslims, and          Jewish did in old Spain.
9 Spain and Latin America: a rainbow of cultures and its richness
10 Future for the Earth. What awaits the new generations
 
Please name 2 subjects from your own area of  interests:
1. 
 
2. 
 
 
Casa Tomaren*
 
I would like to share double room with 
 
I am Vegetarian 
 
Lunch Preference* 
 
Dinner Preference* 
 
Allergies
 
Smoker*
 
 
Arrival: Airline
 
Arrival:
Flight Number
 
Arrival: Date
 
Arrival: Time
 
Departure: Airline   
 
Departure: Flight number 
 
Departure: Date of departure 
 
Departure: time 
 
Transfer*
 
Other Info
 
Fields marked with (*) are mandatory
 

After filling out your registration form, you will be send an automatic
confirmation to your Email address, which list and confirm again your
course dates. If you don’t receive this Email, then you have encountered a technical error; in this case, please repeat once again the registration process.

 
Hereby I enrol for the above given Spanish intensive course and declare and accept explicitly the Terms and conditions of contract

 
Lanzarote Inter-Aktive Languages (Chairman: Elvia Zaldivar)
C. Cuesta de los Molinos, 14 E-35570 Yaiza, Lanzarote - Spain  |  Phone / Fax: (+34) 928 83 04
E-Mail: info@spanisch-sprachreisen-lanzarote.com
Internet: www.spanish-abroad-lanzarote.com
 |  Webdesign:  www.publilanza.com