Заявление о приеме – Языковая школа Speakeasy

Mr.Mrs.Company

Name of the company *

Full address of the company *

Mr.Mrs.
First name(s) of the participant *

Last name of the participant *

First name(s) *

Last name *

Telephone

E-mail *

Address in Germany

Street + House No. *

c/o

Postal Code *

City/Town *

Language visa

YesNo

Please read!

Home address

Street + House No. *

Postal code *

City/Town *

Country *

Nationality *

Passport number *

Birthday *

I hereby register for the following course:

Course Type *
Intensive course
Course Level from *

Intended starting date *

It can take 3–4 months to obtain the visa!
Course duration *

Course fee: € 525€ 970€ 1,440€ 1,880€ 2,350€ 2,800€ 3,270€ 3,700€ 4,170€ 4,600€ 5,070€ 5,500

Course type *
Intensive courseEvening course1-to-1 LessonsOther

Course level from *

Intended starting date *

Course duration *

Course fee: € 525€ 970€ 1,440€ 1,880€ 2,350€ 2,800€ 3,270€ 3,700€ 4,170€ 4,600€ 5,070€ 5,500€ 170€ 290€ 410€ 645€ 765€ 885€ 0

Course level from *

Intended starting date *

Please find here our next courses.
Course duration *

Course fee: € 229,–€ 449€ 678€ 898individual€ 0

Premium package *

Intended starting date *

Course duration *

Method of payment *
Bank transferCredit CardCash
How did you hear about us?

Comment or questions

The Terms of Service are incorporated into this contract. Signing this contract confirms that the student has read and accepted the Terms of Service. *
I have read and accepted the data security declaration. *

* This field is required.